Savas Management Center Software Engineer Interview Guide

The 60-second brief

As a Software Engineer at Savas Management Center, you are a critical link in the delivery of high-quality administrative and clinical data management solutions. You are responsible for ensuring that complex medical coding processes are executed with precision, leveraging your technical expertise to support the operational integrity of the organization. Your work directly impacts the efficiency of medical billing and documentation workflows, which are essential to the company's commitment to excellence in healthcare management. This role requires a unique blend of technical proficiency and specialized domain knowledge. You will navigate complex data sets and regulatory environments, ensuring that all outputs meet stringent compliance and quality standards.

This guide is scoped to a Software Engineer candidate at Savas Management Center.

Focus areas

• Medical Coding (Healthcare Domain)
• CPC (Current Procedural Terminology)
• CCS (Clinical Classification)

Where to focus your preparation

No round sequence has been reported for Savas Management Center. Confirm the format with your recruiter.

Preparation focus

No round sequence has been reported for this company, so confirm the format with your recruiter and work the reported questions below.

What to demonstrate

• Breadth across the topics this company reports testing
• Whether you confirm the format before preparing for it

How to prepare

• Ask the recruiter for the sequence, the duration of each stage and whether you will be writing code
• Work the reported questions below and time yourself

Where candidates lose points

Structure your answers

Use the STAR method to ensure your responses are concise and impactful.

Own your projects

Be ready to speak in detail about specific files or coding projects you have managed.

Clarify the role

If you have questions about the scope of the position, ask them early to ensure alignment on expectations.

Stay calm under pressure

The interview may include technical scenarios; take your time to think through the logic before answering.

Questions & practice

Merge partitioned event streams into one ordered feed with bounded lateness

Hard · k-way merge · watermarks · out-of-order streams

The read-model service consumes 64 log partitions carrying about 4,000 events per second in total. Each partition is ordered within itself, but partitions drift by up to 30 seconds, and the activity feed must present a tenant's events in occurred_at order. Produce the merge. State its complexity, the buffer it requires in events and in bytes, what happens when one partition is idle, and what you do with an event that arrives after you have already emitted its position. Payloads average 1 KB.

Approach

1. Merge with a min-heap over the 64 partition heads keyed on (occurred_at, event_id): O(log P) per event and O(n log P) overall. The tie-break on event_id is what makes the output deterministic when two partitions carry the same millisecond, which matters because the feed is paginated and a non-deterministic order reorders pages under the reader.
2. Emitting the heap head is only correct once every partition has produced everything up to that timestamp, so the emit condition is a watermark: the minimum across partitions of the highest occurred_at seen, less the allowed lateness. Events are held until the watermark passes them, which is what turns individually ordered streams into a jointly ordered one.
3. Size the buffer from the lateness rather than guessing: 4,000 events per second times 30 seconds is 120,000 buffered events, and at 1 KB each about 120 MB of heap. That number is the real price of the ordering guarantee and belongs in front of whoever asked for it.
4. Handle the idle partition explicitly, because it fails the feed rather than corrupting it: a partition with no traffic never advances its own maximum, so the watermark freezes and output stops entirely. Either every partition emits a periodic idle marker carrying the broker's current time, or the watermark falls back to wall clock for a partition silent beyond a threshold.

Follow-up

• The lateness budget is raised to five minutes. What is the new buffer, and what besides memory changes?
• The consumer restarts. Where does it resume from, and what does the feed look like for the first 30 seconds?

Diff a projection against the primary without per-row point reads

Hard · reconciliation · range hashing · throttling

The listing projection has drifted and some rows show a stale version. The primary holds 40,000,000 resource rows across 12,000 tenants while serving 1,200 writes and 14,000 reads per second. The obvious repair, reading each resource row and comparing its version against the projection, is correct and would eventually finish. Explain precisely why it is unacceptable here, then give a diff that finds the differing rows, state its complexity, and make it safe to run against a live primary. Replication lag is usually under 100 ms and is not bounded.

Approach

1. Quantify the naive cost rather than calling it slow: 40,000,000 point reads at even 0.5 ms each is over five hours serialised, and the only lever is concurrency, which is exactly what you cannot spend. The primary's pool is sized for the write path, and 40,000,000 random reads evict the buffer cache that sustains the 85 percent cache hit rate, so the audit degrades the system it is auditing.
2. Replace random access with one ordered pass per side. Both sides can be read in (tenant_id, resource_id) order, which is a sequential scan on each and a merge join in O(n) time and O(1) memory. For a dense diff that is the whole answer, and it reads the primary once instead of 40,000,000 times.
3. For the expected sparse case, compare range hashes instead of rows: partition the key space, compute per range an order-independent aggregate over hash(resource_id, version), compare aggregates, and descend only into ranges that differ. With d differing rows and branching factor B, at most d ranges mismatch per level, so the drill-down examines O(d log_B(n/d)) ranges and reads full rows only in mismatching leaves.
4. Aggregate with a sum modulo 2^64 or a multiset hash, never XOR. XOR is order-independent but self-cancelling, so two rows wrong in the same way, or a row duplicated on one side, leave the range aggregate matching and the range is declared clean.

Follow-up

• The diff reports 900 stale rows. How do you decide between patching those rows and rebuilding the projection from resource_revision?
• Same job, but the projection lives in a search index that cannot be scanned in key order. What changes?

Find overlapping job attempts and peak concurrency from lease records

Medium · sweep line · intervals · leases

A day of job_run history yields about 50,000,000 attempt records: (job_run_id, job_type, attempt, started_at, finished_at which is NULL when the worker died, lease_expires_at). Leases expire on a clock, so a job that outran its lease ran twice. Produce (a) every job_run_id whose attempts overlapped in wall-clock time and (b) the peak number of simultaneously running attempts per job_type with the minute it occurred. Target O(n log n). State how you treat a NULL finished_at and what clock skew does to your answer.

Approach

1. Define the interval before sorting anything: an attempt occupies [started_at, COALESCE(finished_at, lease_expires_at)). finished_at is observed and lease_expires_at is only a promise, so every attempt without a finish contributes an estimate and the whole result is a lower bound on overlap rather than an exact count.
2. For peak concurrency, sweep: emit 2n endpoints, sort by (timestamp, kind) with ends ordered before starts at equal timestamps, then walk the sequence maintaining a counter per job_type and record each type's maximum with its timestamp. O(n log n) dominated by the sort, O(n) space, or O(1) extra if the sort is external and the walk streams.
3. For overlap detection, do not compare attempts pairwise. A single global sort by (job_run_id, started_at) gives both the grouping and the order; within a group, keep the maximum end seen so far and report an overlap exactly when the next start is less than that running maximum, which is one linear pass after the sort.
4. Half-open intervals matter and are easy to get wrong: with closed intervals an attempt ending at the same millisecond another begins reads as concurrency two, and across 50,000,000 records that artefact swamps the real signal.

Follow-up

• A handler is not idempotent and you have found 400 overlapping jobs. Which of them actually caused damage, and what would you query to find out?
• Peak concurrency for one job_type is 4 against a configured cap of 4. Is the cap working, or is the data hiding attempts that never started?

Denormalise tenant onto revisions and backfill it live

Hard · denormalisation · online migration · backfill

resource_revision (revision_id, resource_id, version, actor_user_id, change_kind, patch, request_id, created_at) has 400M rows and no tenant column; tenant_id lives only on resource. Two reads need it: a tenant-scoped audit feed ordered by created_at DESC, and an offboarding purge. Both join back to resource today. Justify adding tenant_id to resource_revision against those two reads, name the anomaly the copy introduces and the constraint that prevents it, then give the ordered migration for a live table taking 1.2k writes/second — the lock each step takes, how the backfill is batched, and where each step stops being reversible. PostgreSQL 16.

Approach

1. Justify from the access path rather than from taste. Without the column, the audit feed either scans resource_revision by created_at and discards other tenants' rows, or resolves the tenant's resource_ids first and probes with them — both proportional to the tenant's whole history rather than to one page. With (tenant_id, created_at DESC, revision_id DESC) it is a seek that stops at 50 rows, and the purge becomes a ranged delete instead of a join.
2. Name the cost exactly: a second copy of a fact can disagree with the first. Make the disagreement unwritable rather than documented — add UNIQUE (resource_id, tenant_id) on resource so it can serve as a foreign-key target, then FOREIGN KEY (resource_id, tenant_id) REFERENCES resource (resource_id, tenant_id) on the revision table. A revision can then only ever carry its parent's tenant.
3. Step one, expand: ALTER TABLE resource_revision ADD COLUMN tenant_id BIGINT NULL, with no default, so it is a catalogue change and no rewrite. It still needs ACCESS EXCLUSIVE for an instant, and that instant queues behind the longest open transaction on the table while every later query queues behind it — set lock_timeout to 2s and retry rather than wait.
4. Step two, dual-write: deploy the writer that populates tenant_id on every new revision while reads still use the join. Reversible by redeploying the previous build, because nothing reads the column yet.

Follow-up

• The backfill is half finished and a rollback is required. What state is the table in, and what does the previous build do with a half-populated column?
• How do you verify the backfill actually finished, given rows are still being inserted while it runs?

Explain why the owner filter ignores the listing index

Medium · composite index · query plans · sort elimination

The only index on resource is (tenant_id, status, updated_at DESC, resource_id DESC). A new endpoint returns one user's resources across all statuses, newest created first: WHERE tenant_id = $1 AND owner_user_id = $2 ORDER BY created_at DESC LIMIT 20. On a tenant with 2M rows it takes 900 ms and EXPLAIN shows a sort above a large scan. Explain precisely why the existing index cannot serve it, give the index that can, and state which of these the new index still will not help: owner_user_id alone across tenants; the same query ordered by updated_at. PostgreSQL 16.

Approach

1. Separate the two jobs an index does. For filtering, a composite btree is seekable only on a left prefix, so with no predicate on status the scan can at best range over tenant_id and test owner_user_id per row; PostgreSQL 16 has no btree skip scan to jump the unconstrained column.
2. For ordering, the index is sorted by (status, updated_at) within a tenant and not by created_at, so the LIMIT cannot stop early: every matching row is read and then sorted. That is the 'Sort Method: top-N heapsort' line, and it is why the plan reads 2M rows to answer with 20.
3. Derive the replacement from the access path — equality, equality, then the ordering column: CREATE INDEX CONCURRENTLY ON resource (tenant_id, owner_user_id, created_at DESC). The scan seeks to the (tenant, owner) range and walks 20 entries in order, so the Sort node disappears along with the row-read.
4. Treat INCLUDE (title, status) as conditional, not free. An index-only scan still visits the heap for any row whose page is not marked all-visible, so on a table taking 1.2k writes/second the win depends on autovacuum keeping the visibility map current, and the wider index costs more on every insert.

Follow-up

• 90% of rows are status='active'. Would a partial index WHERE status = 'active' change your answer, and for which of the three queries?
• A dashboard runs this for 40 owners in one page load. What changes about the design?

How do you ensure accuracy when handling complex medical records?

Medium · Technical and Domain Knowledge

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?

Can you explain your process for resolving discrepancies in coding documentation?

Medium · Technical and Domain Knowledge

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 do you stay updated with changes in medical coding regulations and compliance requirements?

Medium · Technical and Domain Knowledge

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 situation where you had to justify a specific coding decision to a stakeholder.

Medium · Technical and Domain Knowledge

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?

One log partition stops advancing while the others drain

Easy · poison message · head-of-line blocking · consumer lag

Search results for a subset of tenants are hours stale; the rest are current. The projection consumer reports lag of zero on 15 of 16 partitions and 400,000 on one. Its error rate is flat and its CPU is idle. outbox_event has no pending rows older than a second, so the relay has published everything it holds. Identify the mechanism, give the ordered checks, and state what you do in the first ten minutes versus what you change permanently.

Approach

1. Read the lag distribution first. A slow consumer lags everywhere; zero on fifteen partitions and 400,000 on one is not throughput. Idle CPU on the stuck partition means the consumer is not advancing its offset at all, which points at one message it cannot get past rather than at a rate problem.
2. Exonerate the producer before touching the consumer. No pending outbox rows older than a second means the relay published, so the event exists in the log. This separates never sent from sent and never applied, which are different code paths and usually different owners.
3. Read the message at the stuck offset and the handler's log lines for its event_id. A flat error rate with no progress has two explanations and you must distinguish them: the handler is throwing and the retry loop is swallowing it, or the handler is blocking on something and never returning. Idle CPU with no error lines favours the second.
4. Mitigate before diagnosing further. Move the offending event to a dead-letter store and commit the offset past it. Adding consumers does nothing here, because a partition is consumed by exactly one member of the group, and the blast radius is every aggregate hashed to that partition, not only the aggregate that produced the bad event.

Follow-up

• The dead-lettered event carried aggregate_version 7 and the projection had applied 6. What must the replay do differently if 8 and 9 landed in the meantime?
• How do you show staleness to the user while the partition is behind, given the API already returns the projection's watermark?

Suggested practice checklist

Built from the topics and questions Savas Management Center candidates report; no round sequence has been reported.

Day 1 — Establish the Savas Management Center format

• No round sequence has been reported, so ask your recruiter for the sequence, the duration of each stage and whether you will write code.

Deliverable: A written reply from your recruiter confirming the format.

Day 2 — Work Medical Coding (Healthcare Domain)

• Spend the session on Medical Coding (Healthcare Domain), which Savas Management Center candidates report being tested on.
• Write one worked example in Medical Coding (Healthcare Domain) and time yourself on it.

Deliverable: One timed worked example in Medical Coding (Healthcare Domain).

Day 3 — Work CPC (Current Procedural Terminology)

• Spend the session on CPC (Current Procedural Terminology), which Savas Management Center candidates report being tested on.
• Write one worked example in CPC (Current Procedural Terminology) and time yourself on it.

Deliverable: One timed worked example in CPC (Current Procedural Terminology).

Day 4 — Work CCS (Clinical Classification)

• Spend the session on CCS (Clinical Classification), which Savas Management Center candidates report being tested on.
• Write one worked example in CCS (Clinical Classification) and time yourself on it.

Deliverable: One timed worked example in CCS (Clinical Classification).

Day 5 — Answer out loud: Technical and Domain Knowledge

• Answer aloud, timed: How do you ensure accuracy when handling complex medical records?
• Answer aloud, timed: Can you explain your process for resolving discrepancies in coding documentation?

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

Day 6 — Rehearse your own examples

• Prepare three examples from your own work where you made the decision, each with the outcome you can quantify.

Deliverable: Three examples written out, each with a number attached.

Day 7 — Dry run for Savas Management Center

• Run one full mock under time, then write down the two questions you most want to ask your interviewers.

Deliverable: A completed timed mock and two questions to ask.

Behavioural preparation

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

What is your experience with CPC or CCS standards in a fast-paced environment?

Medium · Technical and Domain Knowledge

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?

Tell callers you do not own that their integration breaks

Medium · deprecation · compatibility · stakeholders

A field in a write endpoint's response must change shape. You own the endpoint; you do not own the four internal callers or the outbound webhook consumers who read it. Describe a deprecation you were responsible for: what you shipped first, how you established who was actually reading the field, the window you gave and what set its length, what you did about the consumer who never moved, and how you decided removal was safe. Name the signal you used, not the announcement you sent.

Approach

1. Establish the reader set empirically rather than from a wiki of owners: per-field usage counters keyed by principal, or access logs attributed to a consumer. State the blind spot of whichever you pick, since a consumer that reads the field only on a monthly job will not appear in a week of logs.
2. Ship additive first. Populate the new field alongside the old one so no reader is forced to move, which is also what keeps a rolling deploy safe, because old and new instances answer the same requests at the same time and a rollback must still find the old shape present.
3. Set the window from the slowest legitimate consumer's release cadence, not from your calendar, and decide separately what to do for a consumer with no release process at all, such as an external webhook endpoint you can only email.
4. Convert silence into evidence before you rely on it: a short, low-traffic removal window that makes a still-dependent consumer fail visibly and loudly while you are watching, rather than at three in the morning after you have moved on.

Follow-up

• How would you detect a consumer that reads the field only during a monthly export?
• One caller refuses to move and has a commercial relationship behind it. What changes in your plan and what does not?

Unblock an engineer without taking the keyboard

Easy · mentoring · leases · at-least-once

A teammate has spent two days on a job handler that occasionally writes duplicate rows. They are certain the queue is delivering twice by mistake. You suspect a lease expiring under a slow handler, so the job is running concurrently with itself. Describe how you have unblocked someone in this position: what you asked before offering a hypothesis, what you showed them rather than told them, and what you left them owning. Then say what you would do if their theory turned out to be the right one.

Approach

1. Ask before diagnosing, and ask for things answerable from data they already have: the attempt count on the job rows that produced duplicates, the handler's observed duration against its lease expiry, and whether the duplicate rows share a natural key that a unique constraint could have caught.
2. Teach the shape rather than the answer. A lease cannot distinguish a dead worker from a slow one, so a handler that outruns its lease is running twice by design, and deploys deliver the other half by killing handlers mid-run on every rollout. Both of their candidate theories produce identical duplicate rows, which is why the evidence has to come from timings rather than from argument.
3. Hand over a checklist they execute: a natural key on every write the handler performs so the second copy collides rather than appends, the record of intent written before any external effect, a lease heartbeat while running, and the metric that shows it working.
4. Keep ownership with them deliberately. Pair on the first write, then step back; if you finish it yourself you have closed one ticket and left the same person stuck on the next redelivery.

Follow-up

• How would you distinguish a genuine double-delivery from a lease expiry using only the data already stored?
• Their handler calls an external endpoint before recording that it did. What do you tell them to change first?