Redesign Health Software Engineer Interview Guide

The 60-second brief

The role of a Software Engineer at Redesign Health is pivotal in driving the development of innovative healthcare solutions that impact users and reshape the health landscape. As part of a dynamic team, you will engage in building scalable, user-centric applications that address complex challenges within the healthcare system. Your contributions will directly influence the products that help improve patient care and streamline processes for healthcare providers. At Redesign Health, you will work on a variety of projects, collaborating closely with cross-functional teams that include product managers, designers, and other engineers. This role is not only about coding; it encompasses problem-solving, creativity, and a strategic approach to software design and architecture.

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

Focus areas

• ReactJS
• Coding Interview
• Problem Solving

The Redesign Health interview process

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

Recruiter Screen

Initial conversation with a recruiter to assess your background and fit for the role.

What to demonstrate

• Initial conversation with a recruiter to assess your background and fit for the role
• Depth in ReactJS

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.

Hiring Manager Interview

Interview with the hiring manager to discuss your experience and alignment with team goals.

What to demonstrate

• Interview with the hiring manager to discuss your experience and alignment with team goals
• Depth in ReactJS

How to prepare

• Prepare two projects you led end to end, each with the decision you owned and what it cost.
• Have three questions about the team's roadmap and how success is measured in the first six months.

Technical Team Interviews

Interviews with technical team members focusing on your technical skills and problem-solving abilities.

What to demonstrate

• Interviews with technical team members focusing on your technical skills and problem-solving abilities
• Depth in ReactJS

How to prepare

• Answer aloud and timed: What is your experience with continuous integration and deployment?
• Answer aloud and timed: How would you design a scalable messaging system?

Where candidates lose points

Practice coding challenges

Regularly engage with coding problems to improve your problem-solving skills and speed. Platforms like LeetCode and HackerRank can be beneficial.

Understand the healthcare domain

Familiarize yourself with the challenges and opportunities in healthcare technology. This knowledge can help you contextualize your answers during interviews.

Showcase your projects

Be prepared to discuss personal projects or contributions to open-source software that demonstrate your skills and passion for software engineering.

Prepare for behavioral questions

Reflect on your past experiences to provide concrete examples that illustrate your teamwork, leadership, and adaptability.

Questions & practice

Write a function to detect a cycle in a linked list.

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?

How would you find the longest substring without repeating characters?

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?

Implement a binary search algorithm.

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?

Solve a problem involving graph traversal (e.g., finding the shortest path).

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 your solution.

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 the trade-offs between SQL and NoSQL databases for a healthcare application.

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?

Write the update path that detects a concurrent edit

Medium · optimistic concurrency · transactional outbox · audit history

resource carries version INT NOT NULL DEFAULT 1. resource_revision holds revision_id, resource_id, version, actor_user_id, change_kind, patch JSONB, request_id, created_at with UNIQUE (resource_id, version). outbox_event holds aggregate_type, aggregate_id, aggregate_version, event_type, payload, status. A PUT carries the version the client read. Write the exact statements for the single transaction that applies the edit, records the revision and enqueues 'resource.updated', and give the handler's branch on zero affected rows. Then say what PostgreSQL 16 does under READ COMMITTED when two of these updates hit one row at once.

Approach

1. One transaction, three writes, no network call inside it: UPDATE resource SET title = $3, version = version + 1, updated_at = now() WHERE resource_id = $1 AND tenant_id = $4 AND version = $2; then INSERT the resource_revision row at version $2 + 1; then INSERT the outbox_event row at the same aggregate_version. The event goes to a table rather than a broker because no transaction spans both.
2. Branch on the affected-row count before doing anything else. Zero has three causes — stale version, wrong tenant, row gone — so re-read once and map to 409 carrying the current version, or 404 for an id outside the caller's tenant, which also stops the endpoint confirming that another tenant's id exists.
3. State the engine behaviour instead of assuming it. Under READ COMMITTED the second UPDATE blocks on the row lock, and when the first commits PostgreSQL re-evaluates the WHERE clause against the newly committed row, so the version predicate now fails and the statement reports zero rows. Under REPEATABLE READ the identical collision raises SQLSTATE 40001 instead, so the handler must fold both shapes into one conflict response.
4. Keep UNIQUE (resource_id, version) even though the predicate already serialises writers. It is what makes a lost update unwritable if any other path ever reaches the revision table, and it converts a logic bug into 23505 rather than into a silently missing history row.

Follow-up

• A client sends the version it read ten minutes ago and the resource has moved three versions. What is in your 409 so it can resolve the conflict without a full re-fetch?
• Two editors, two disjoint fields, no overlap. Does your answer still refuse the second write, and should it?

What design patterns are you familiar with, and when would you use them?

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?

Explain the principles of RESTful API design.

Medium · Technical / Domain Questions

Approach

1. Say who the caller is and what they do when the call fails halfway.
2. Define the identity of a request so a retry cannot double-apply it.
3. Separate accepted, pending, failed and confirmed; they are different facts.
4. Design the error taxonomy before the success shape; callers branch on it.

Follow-up

• What happens if the caller retries after a timeout?
• How does a client discover it is on an old version of this contract?

How do you manage state in a React application?

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?

How would you design a scalable messaging system?

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?

Describe your approach to designing a microservices architecture.

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 do you ensure security and compliance in your system design?

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?

What monitoring and logging practices do you recommend for a production system?

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 a project with unclear requirements?

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?

Describe a technical challenge you faced and how you resolved 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?

If you were given a legacy codebase, what steps would you take to improve 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?

How would you handle a situation where a project is falling behind schedule?

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 case where you had to make a decision with incomplete data.

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?

Describe your approach to debugging a complex issue in a production environment.

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 Redesign Health candidates report.

Day 1 — Map the Redesign Health loop

• Write out the reported sequence: Recruiter Screen, Hiring Manager Interview, Technical Team Interviews.
• 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 ReactJS

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

Deliverable: One timed worked example in ReactJS.

Day 3 — Work Coding Interview

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

Deliverable: One timed worked example in Coding Interview.

Day 4 — Work Problem Solving

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

Deliverable: One timed worked example in Problem Solving.

Day 5 — Answer out loud: Technical / Domain Questions

• Answer aloud, timed: What design patterns are you familiar with, and when would you use them?
• Answer aloud, timed: Explain the principles of RESTful API design.

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

Day 6 — Answer out loud: System Design / Architecture

• Answer aloud, timed: How would you design a scalable messaging system?
• Answer aloud, timed: Discuss the trade-offs between SQL and NoSQL databases for a healthcare 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 when you had to navigate a conflict within your team.
• Answer aloud, timed: How do you prioritize tasks when faced 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 continuous integration and deployment?

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 when you had to navigate a conflict 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?

How do you prioritize tasks when faced 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?

Give an example of how you have mentored a junior engineer.

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?

What motivates you to perform at your best in a team setting?

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 handle feedback on your work?

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?