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Modern Health Software Engineer Interview Guide

Modern Health Software Engineer interview guide: reported rounds, questions and how candidates describe the process.

The 60-second brief

As a Software Engineer at Modern Health, you play a crucial role in shaping the technology that underpins our mental health platform. This position is vital for the development of innovative solutions that directly impact the well-being of users, enabling access to vital mental health resources. Your work will contribute to the design, implementation, and maintenance of software systems that enhance user experience and support our mission of promoting mental health accessibility. In this role, you will tackle complex engineering challenges, such as building scalable APIs and developing user-friendly applications. You'll collaborate closely with product managers, designers, and other engineers to create high-quality software that meets user needs and aligns with the company's strategic goals.

This guide is scoped to a Software Engineer candidate at Modern Health.

Focus areas

  • Frontend development (React)
  • GraphQL
  • Python

The Modern Health interview process

Modern Health candidates report 3 rounds over 3-5 weeks. The stages below are what candidates describe, not a published process.

Recruiter Call

Initial call with a recruiter to discuss the candidate's background and the role.

What to demonstrate

  • Initial call with a recruiter to discuss the candidate's background and the role
  • Depth in Frontend development (React)

How to prepare

  • Be able to walk your CV end to end in two minutes, and say why this company specifically.
  • Have your salary expectations, notice period and location constraints ready, and ask for the rest of the loop in writing.

Coding Assignment

Candidates choose between a take-home coding assignment or an assessment via Coderbyte.

What to demonstrate

  • Candidates choose between a take-home coding assignment or an assessment via Coderbyte
  • Depth in Frontend development (React)

How to prepare

  • Answer aloud and timed: Describe your experience with version control systems, particularly Git.
  • Answer aloud and timed: What strategies do you employ for debugging and optimizing code?

Virtual Onsite Interview

Includes both technical and behavioral assessments to evaluate skills and cultural fit.

What to demonstrate

  • Includes both technical and behavioral assessments to evaluate skills and cultural fit
  • Depth in Frontend development (React)

How to prepare

  • Answer aloud and timed: Discuss your familiarity with cloud services and deployment strategies.
  • Answer aloud and timed: Design a scalable system for user authentication and authorization.

Where candidates lose points

Practice Coding

Regularly work on coding problems to sharpen your skills and become comfortable with technical interviews.

Understand Company Values

Familiarize yourself with Modern Health's mission and values to demonstrate alignment during interviews.

Engage with Interviewers

Show enthusiasm and engagement during interviews; ask thoughtful questions to demonstrate your interest.

Follow Up

After interviews, consider sending thank-you notes to your interviewers to express your gratitude and reinforce your interest in the position.

Questions & practice

Explain the concept of asynchronous programming and when you would use it.

Medium · Technical / Domain Questions

Approach

  1. Say what the runtime actually does before reasoning about the code.
  2. Name what is shared across threads and what owns each piece of state.
  3. Identify the window where an invariant is briefly untrue.
  4. Distinguish a value from a reference to it, and say which one you handed out.

Follow-up

  • What happens if two callers reach this at the same time?
  • Where could this allocate more than you expect?

Solve a coding problem that involves data structures like arrays and linked lists.

Medium · Coding / Algorithms

Approach

  1. Restate the input: its shape, its size, and what is guaranteed about it.
  2. Name the brute-force solution and its complexity before improving on it.
  3. Choose the data structure from the access pattern, not from familiarity.
  4. State the target complexity and say which constraint rules the naive version out.

Follow-up

  • How does this change if the input no longer fits in memory?
  • What is the worst case, and how likely is it on real data?

Explain the time complexity of common sorting algorithms. Which one would you choose for a specific scenario?

Medium · Coding / Algorithms

Approach

  1. Restate the input: its shape, its size, and what is guaranteed about it.
  2. Name the brute-force solution and its complexity before improving on it.
  3. Choose the data structure from the access pattern, not from familiarity.
  4. State the target complexity and say which constraint rules the naive version out.

Follow-up

  • How does this change if the input no longer fits in memory?
  • What is the worst case, and how likely is it on real data?

Write a function that performs a specific task, and explain your thought process as you code.

Medium · Coding / Algorithms

Approach

  1. Restate the input: its shape, its size, and what is guaranteed about it.
  2. Name the brute-force solution and its complexity before improving on it.
  3. Choose the data structure from the access pattern, not from familiarity.
  4. State the target complexity and say which constraint rules the naive version out.

Follow-up

  • How does this change if the input no longer fits in memory?
  • What is the worst case, and how likely is it on real data?

Discuss trade-offs you consider when choosing between SQL and NoSQL databases.

Medium · System Design / Architecture

Approach

  1. Name the grain you start from and join outward from it.
  2. Check whether any join is one-to-many before aggregating, or the sums inflate.
  3. Say which index the query would use, and what makes it unusable.
  4. Handle the rows that do not match: that is usually the actual question.

Follow-up

  • How does the query change if that join becomes one-to-many?
  • What happens to this when the table is ten times larger?

Replace offset paging on the resource feed with keyset

Easy · keyset pagination · composite index · sort order

resource holds resource_id, tenant_id, owner_user_id, title, body_ref, version, status ('draft','active','archived','deleted'), created_at, updated_at, deleted_at, with an index on (tenant_id, status, updated_at DESC, resource_id DESC). The listing endpoint returns active resources for one tenant, newest update first, 50 per page, today with LIMIT 50 OFFSET n. Tenants reach page 400 and rows are created while they read. Write the keyset query, define what the cursor carries and how it is encoded, and say which part of the index each predicate uses. Assume PostgreSQL 16.

Approach

  1. Name the two failures separately. OFFSET 20000 makes the server produce and discard 20,000 rows, so page cost grows with depth rather than with page size. Independently, any write that changes how many rows sort above the offset moves the window between two fetches, and the direction decides which anomaly you get: an insert lands at the head of updated_at DESC and pushes already-returned rows down past the boundary, so they are returned a second time; a delete above the offset, or a row whose updated_at is bumped above the cursor, pulls rows up and one is never returned at all. Nothing in the response reveals either.
  2. Write the seek: WHERE tenant_id = $1 AND status = 'active' AND (updated_at, resource_id) < ($2, $3) ORDER BY updated_at DESC, resource_id DESC LIMIT 50. The row-value comparison is one index range rather than a disjunction, and both columns are NOT NULL, which is what makes that comparison well defined.
  3. Map each predicate onto the index: tenant_id and status are equality on the leading columns, (updated_at, resource_id) is the range, and the ORDER BY matches the index order so no Sort node appears and the scan stops after 50 rows. The DESC in the definition only matters for mixed directions — a plain ascending btree on the same columns is read backwards for this query.
  4. Put both sort columns in the cursor and nothing the client can tamper with into another tenant: base64 of (updated_at, resource_id), validated server-side, with tenant_id taken from the principal.

Follow-up

  • The client asks for 'jump to page 400'. What do you offer instead, and what does the honest version cost?
  • Sort order becomes user-selectable across four columns. How many indexes is that, and which would you refuse to add?

Discuss your familiarity with cloud services and deployment strategies.

Medium · Technical / Domain Questions

Approach

  1. Clarify what is being asked and what a complete answer contains.
  2. State your assumptions explicitly before working the problem.
  3. Say what you would check first and why it is the highest-information step.
  4. Work from the requirement backwards to the design.

Follow-up

  • What assumption would you test first?
  • How would you know your answer was wrong?

Design a scalable system for user authentication and authorization.

Medium · System Design / Architecture

Approach

  1. Fix the scope first: who calls this, how often, and what they do when it fails.
  2. Name the read and write paths separately; they rarely have the same bottleneck.
  3. Choose a partition key and say what query it makes expensive.
  4. State the consistency you need, and where you are willing to be stale.

Follow-up

  • What breaks first when traffic grows ten times?
  • How does this behave when that dependency is down for an hour?

How would you approach designing a microservices architecture for a mental health application?

Medium · System Design / Architecture

Approach

  1. Fix the scope first: who calls this, how often, and what they do when it fails.
  2. Name the read and write paths separately; they rarely have the same bottleneck.
  3. Choose a partition key and say what query it makes expensive.
  4. State the consistency you need, and where you are willing to be stale.

Follow-up

  • What breaks first when traffic grows ten times?
  • How does this behave when that dependency is down for an hour?

Explain how you would handle data synchronization across multiple services.

Medium · System Design / Architecture

Approach

  1. Fix the scope first: who calls this, how often, and what they do when it fails.
  2. Name the read and write paths separately; they rarely have the same bottleneck.
  3. Choose a partition key and say what query it makes expensive.
  4. State the consistency you need, and where you are willing to be stale.

Follow-up

  • What breaks first when traffic grows ten times?
  • How does this behave when that dependency is down for an hour?

How would you approach optimizing a slow-performing application?

Medium · Problem-Solving / Case Studies

Approach

  1. Clarify what is being asked and what a complete answer contains.
  2. State your assumptions explicitly before working the problem.
  3. Say what you would check first and why it is the highest-information step.
  4. Work from the requirement backwards to the design.

Follow-up

  • What assumption would you test first?
  • How would you know your answer was wrong?

Present a scenario where a feature you implemented didn’t work as expected. What did you learn from it?

Medium · Problem-Solving / Case Studies

Approach

  1. Clarify what is being asked and what a complete answer contains.
  2. State your assumptions explicitly before working the problem.
  3. Say what you would check first and why it is the highest-information step.
  4. Work from the requirement backwards to the design.

Follow-up

  • What assumption would you test first?
  • How would you know your answer was wrong?

What strategies do you employ for debugging and optimizing code?

Medium · Technical / Domain Questions

Approach

  1. Establish what changed and when, before forming any theory.
  2. Pick a bisection that eliminates candidates whichever way it turns out.
  3. Check the instrumentation before believing the symptom.
  4. Separate the trigger from the cause; the deploy is rarely the bug.

Follow-up

  • What would you look at first, and what would it rule out?
  • How would you tell a cause from a coincidence here?

Suggested practice checklist

Built from the rounds and topics Modern Health candidates report.

Day 1 — Map the Modern Health loop

  • Write out the reported sequence: Recruiter Call, Coding Assignment, Virtual Onsite Interview.
  • For each round, write one sentence on what it is judging, from the description above, and mark the one you are least ready for.

Deliverable: A one-page map of the 3 reported rounds, with the weakest marked.

Day 2 — Work Frontend development (React)

  • Spend the session on Frontend development (React), which Modern Health candidates report being tested on.
  • Write one worked example in Frontend development (React) and time yourself on it.

Deliverable: One timed worked example in Frontend development (React).

Day 3 — Work GraphQL

  • Spend the session on GraphQL, which Modern Health candidates report being tested on.
  • Write one worked example in GraphQL and time yourself on it.

Deliverable: One timed worked example in GraphQL.

Day 4 — Work Python

  • Spend the session on Python, which Modern Health candidates report being tested on.
  • Write one worked example in Python and time yourself on it.

Deliverable: One timed worked example in Python.

Day 5 — Answer out loud: Technical / Domain Questions

  • Answer aloud, timed: What is your experience with RESTful APIs, and how do you ensure their performance and security?
  • Answer aloud, timed: Explain the concept of asynchronous programming and when you would use it.

Deliverable: Spoken answers to 2 reported Technical / Domain Questions question(s), under time.

Day 6 — Answer out loud: System Design / Architecture

  • Answer aloud, timed: Design a scalable system for user authentication and authorization.
  • Answer aloud, timed: How would you approach designing a microservices architecture for a mental health application?

Deliverable: Spoken answers to 2 reported System Design / Architecture question(s), under time.

Day 7 — Answer out loud: Behavioral / Leadership

  • Answer aloud, timed: Describe a time you faced a significant challenge on a project. How did you handle it?
  • Answer aloud, timed: How do you prioritize tasks when working on multiple projects with tight deadlines?

Deliverable: Spoken answers to 2 reported Behavioral / Leadership question(s), under time.

Behavioural preparation

Behavioural rounds judge the decision you made and what it cost.

What is your experience with RESTful APIs, and how do you ensure their performance and security?

Medium · Technical / Domain Questions

Approach

  1. Pick a story where you made the decision, not one where you watched it.
  2. State the situation in two sentences and spend the rest on the reasoning.
  3. Give the blast radius: what could have broken, and what you measured.
  4. Name the disagreement and how you resolved it with evidence.

Follow-up

  • What would you do differently if you ran that again?
  • How did you know your change caused the improvement?

Describe your experience with version control systems, particularly Git.

Medium · Technical / Domain Questions

Approach

  1. Pick a story where you made the decision, not one where you watched it.
  2. State the situation in two sentences and spend the rest on the reasoning.
  3. Give the blast radius: what could have broken, and what you measured.
  4. Name the disagreement and how you resolved it with evidence.

Follow-up

  • What would you do differently if you ran that again?
  • How did you know your change caused the improvement?

Describe a time you faced a significant challenge on a project. How did you handle it?

Medium · Behavioral / Leadership

Approach

  1. Pick a story where you made the decision, not one where you watched it.
  2. State the situation in two sentences and spend the rest on the reasoning.
  3. Give the blast radius: what could have broken, and what you measured.
  4. Name the disagreement and how you resolved it with evidence.

Follow-up

  • What would you do differently if you ran that again?
  • How did you know your change caused the improvement?

How do you prioritize tasks when working on multiple projects with tight deadlines?

Medium · Behavioral / Leadership

Approach

  1. Pick a story where you made the decision, not one where you watched it.
  2. State the situation in two sentences and spend the rest on the reasoning.
  3. Give the blast radius: what could have broken, and what you measured.
  4. Name the disagreement and how you resolved it with evidence.

Follow-up

  • What would you do differently if you ran that again?
  • How did you know your change caused the improvement?

In what ways do you promote collaboration within your team?

Medium · Behavioral / Leadership

Approach

  1. Pick a story where you made the decision, not one where you watched it.
  2. State the situation in two sentences and spend the rest on the reasoning.
  3. Give the blast radius: what could have broken, and what you measured.
  4. Name the disagreement and how you resolved it with evidence.

Follow-up

  • What would you do differently if you ran that again?
  • How did you know your change caused the improvement?

Talk about a time when you received constructive criticism. How did you respond?

Medium · Behavioral / Leadership

Approach

  1. Pick a story where you made the decision, not one where you watched it.
  2. State the situation in two sentences and spend the rest on the reasoning.
  3. Give the blast radius: what could have broken, and what you measured.
  4. Name the disagreement and how you resolved it with evidence.

Follow-up

  • What would you do differently if you ran that again?
  • How did you know your change caused the improvement?

Describe a time when you had to troubleshoot a critical issue in production. What steps did you take?

Medium · Problem-Solving / Case Studies

Approach

  1. Pick a story where you made the decision, not one where you watched it.
  2. State the situation in two sentences and spend the rest on the reasoning.
  3. Give the blast radius: what could have broken, and what you measured.
  4. Name the disagreement and how you resolved it with evidence.

Follow-up

  • What would you do differently if you ran that again?
  • How did you know your change caused the improvement?