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The University of Kansas Health System Software Engineer Interview Guide

The University of Kansas Health System Software Engineer interview guide: reported rounds, questions and how candidates describe the process.

The 60-second brief

The role of a Software Engineer at The University of Kansas Health System is crucial for advancing the organization’s mission to provide quality healthcare. As a Software Engineer, you will contribute to the development and maintenance of applications that support healthcare delivery, patient care, and administrative processes. This role requires a blend of technical expertise, problem-solving skills, and a commitment to improving the user experience for both healthcare providers and patients. You will work on a variety of projects, including the integration of electronic health records (EHR) systems, developing patient management applications, and enhancing data analytics platforms. Your contributions will directly impact the efficiency and effectiveness of healthcare services delivered to the community.

This guide is scoped to a Software Engineer candidate at The University of Kansas Health System.

Focus areas

  • Epic Application Suite
  • Epic Application Analysis
  • Healthcare IT (Health Systems Domain)

The The University of Kansas Health System interview process

The University of Kansas Health System candidates report 4 rounds over 3-5 weeks. The stages below are what candidates describe, not a published process.

Initial Screening

The first step involves a preliminary screening interview to assess basic qualifications and fit for the role.

What to demonstrate

  • The first step involves a preliminary screening interview to assess basic qualifications and fit for the role
  • Depth in Epic Application Suite

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.

Technical Assessments

Candidates undergo technical evaluations to assess their software engineering skills and knowledge.

What to demonstrate

  • Candidates undergo technical evaluations to assess their software engineering skills and knowledge
  • Depth in Epic Application Suite

How to prepare

  • Answer aloud and timed: Describe a challenging technical problem you faced and how you resolved it.
  • Answer aloud and timed: How do you ensure code quality and maintainability in your projects?

Behavioral Interviews

Behavioral interviews focus on past experiences and how candidates approach teamwork and problem-solving.

What to demonstrate

  • Behavioral interviews focus on past experiences and how candidates approach teamwork and problem-solving
  • Depth in Epic Application Suite

How to prepare

  • Prepare three examples from your own work, each with a decision you made and an outcome you can quantify.
  • Re-read the description of the behavioral interviews above and write down what you would ask to confirm before it.

Final Interviews

The final round includes in-depth discussions with team members to evaluate fit and collaboration potential.

What to demonstrate

  • The final round includes in-depth discussions with team members to evaluate fit and collaboration potential
  • Depth in Epic Application Suite

How to prepare

  • Answer aloud and timed: How do you handle conflicts within a team?
  • Answer aloud and timed: Can you provide an example of a project where you took a leadership role? What challenges did you face?

Where candidates lose points

Research the organization

Familiarize yourself with the mission and values of The University of Kansas Health System to align your answers with their vision.

Prepare for behavioral questions

Use the STAR method (Situation, Task, Action, Result) to structure your responses effectively.

Practice coding challenges

Utilize platforms like LeetCode or HackerRank to sharpen your coding skills and problem-solving techniques.

Engage actively during interviews

Show enthusiasm and curiosity about the role and the projects you may work on. This can leave a positive impression on your interviewers.

Questions & practice

Write a function to reverse a string in your preferred programming language.

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 a data structure you frequently use and why it is beneficial in software development.

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?

Given a sample dataset, how would you identify trends or anomalies?

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 optimize a database query for better performance?

Medium · Coding / Algorithms

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?

What programming languages are you proficient in, and which do you prefer for software development?

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?

Can you explain the differences between object-oriented and functional programming?

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?

Describe a challenging technical problem you faced and how you resolved it.

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 do you ensure code quality and maintainability in your projects?

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 approach designing a new feature for an existing 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?

Can you walk us through your thought process in solving a complex problem?

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 tools or methods do you use for project management and tracking progress?

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 situation where you applied a creative solution to a technical challenge.

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 design an application that handles patient scheduling?

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 considerations do you take into account when designing for scalability?

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?

Discuss how you would integrate various systems within a healthcare environment.

Medium · System Design / Architecture

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?

Describe the trade-offs between monolithic and microservices architectures.

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 strategies do you use for debugging and troubleshooting 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 The University of Kansas Health System candidates report.

Day 1 — Map the The University of Kansas Health System loop

  • Write out the reported sequence: Initial Screening, Technical Assessments, Behavioral Interviews, Final 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 4 reported rounds, with the weakest marked.

Day 2 — Work Epic Application Suite

  • Spend the session on Epic Application Suite, which The University of Kansas Health System candidates report being tested on.
  • Write one worked example in Epic Application Suite and time yourself on it.

Deliverable: One timed worked example in Epic Application Suite.

Day 3 — Work Epic Application Analysis

  • Spend the session on Epic Application Analysis, which The University of Kansas Health System candidates report being tested on.
  • Write one worked example in Epic Application Analysis and time yourself on it.

Deliverable: One timed worked example in Epic Application Analysis.

Day 4 — Work Healthcare IT (Health Systems Domain)

  • Spend the session on Healthcare IT (Health Systems Domain), which The University of Kansas Health System candidates report being tested on.
  • Write one worked example in Healthcare IT (Health Systems Domain) and time yourself on it.

Deliverable: One timed worked example in Healthcare IT (Health Systems Domain).

Day 5 — Answer out loud: Technical / Domain Questions

  • Answer aloud, timed: What programming languages are you proficient in, and which do you prefer for software development?
  • Answer aloud, timed: Can you explain the differences between object-oriented and functional programming?

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

Day 6 — Answer out loud: Behavioral / Leadership

  • Answer aloud, timed: Describe a time when you had to work collaboratively with a team. What was your role, and what was the outcome?
  • Answer aloud, timed: How do you handle conflicts within a team?

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

Day 7 — Answer out loud: Problem-Solving / Case Studies

  • Answer aloud, timed: How would you approach designing a new feature for an existing application?
  • Answer aloud, timed: Can you walk us through your thought process in solving a complex problem?

Deliverable: Spoken answers to 2 reported Problem-Solving / Case Studies question(s), under time.

Behavioural preparation

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

Describe a time when you had to work collaboratively with a team. What was your role, and what was the outcome

Medium · Behavioral / Leadership

Describe a time when you had to work collaboratively with a team. What was your role, and what was the outcome?

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 conflicts within a 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?

Can you provide an example of a project where you took a leadership role? What challenges did you face?

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 simultaneously?

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 workplace 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?