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Growth · Software Engineer Interview Guide

Applies via Ashby

How to Pass the Accurx Software Engineer Interview in 2026

The Accurx DNA (TL;DR)

Accurx seeks candidates who demonstrate strong problem-solving skills, empathy for users (GPs, patients), and a collaborative mindset to improve healthcare communication. They value impact, adaptability, and a genuine interest in their mission to transform NHS workflows.

The Accurx Interview Loop

Your onsite loop will typically consist of 5 rounds.

  1. 1

    Round 1

    Recruiter Screen
    Motivation, role fit, logistics.
  2. 2

    Round 2

    Coding Screen
    LeetCode-medium algorithmic problems under time pressure.
  3. 3

    Round 3

    System Design
    Distributed systems, trade-offs at scale, architecture under constraints.
  4. 4

    Round 4

    Onsite Coding
    LeetCode-hard, debugging, code clarity, edge cases.
  5. 5

    Round 5

    Behavioral / Leadership
    Past evidence of ownership, influence, resolving conflict.

The Danger Zone: Top Reasons Candidates Fail

Based on our database of Accurx interview outcomes, avoid these common traps:

  • Failing to achieve buy-in or resolution.
  • Not considering the latency requirements for real-time notifications.
  • Not summing the durations correctly, possibly double-counting or missing entries.
  • Incorrectly handling edge cases like appointments with zero duration or appointments starting exactly when another ends.

Test Yourself: Real Accurx Questions

Three real prompts pulled from our database.

Type · System Design

Design a system to notify patients about potential drug interactions based on their current prescriptions. Consider scalability for millions of patients and a constantly updating drug database.

Type · Algorithmic

Given a list of patient appointments, each with a start and end time, write a function to find the maximum number of concurrent appointments happening at any given time. Assume times are integers representing minutes from a reference point.

Type · Learning

Tell me about a time you had to quickly learn a new technology or programming language for a project. How did you approach the learning process, and what challenges did you face?

+ many more questions, signals, and worked examples

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Accurx Interview Question Bank

A sample from our database, grouped by round. Sign up to see the full set.

9 of 18 questions shown

1

Recruiter Screen

1
  1. 1

    Type · Motivation

    What interests you about working at Accurx, specifically within the pharma tech space, and how do you see your skills contributing to our mission of improving healthcare access?
2

Coding Screen

3
  1. 2

    Type · Algorithmic

    Given a list of patient appointments, each with a start and end time, write a function to find the maximum number of concurrent appointments happening at any given time. Assume times are integers representing minutes from a reference point.
  2. 3

    Type · Algorithmic

    Imagine you have a large dataset of patient demographics and their prescribed medications. Design a data structure and algorithm to efficiently find all patients who are prescribed a specific medication and belong to a certain age group (e.g., 18-65).
  3. + 1 more questions in this round (sign up to unlock)
3

System Design

3
  1. 4

    Type · System Design

    Design a system to notify patients about potential drug interactions based on their current prescriptions. Consider scalability for millions of patients and a constantly updating drug database.
  2. 5

    Type · System Design

    Accurx wants to build a feature that allows doctors to quickly search for available appointment slots across multiple clinics and practitioners. Design the backend system for this search functionality, considering factors like real-time availability updates and performance under heavy load.
  3. + 1 more questions in this round (sign up to unlock)
4

Onsite Coding

3
  1. 6

    Type · Debugging

    A feature that calculates the estimated cost of a prescription based on drug price, quantity, and insurance co-pay is returning incorrect values for certain inputs. Here's a simplified (buggy) version of the code. Find and fix the bugs.
  2. 7

    Type · Algorithmic

    Implement a function to determine if a given list of medication IDs represents a valid prescription sequence according to a predefined set of rules (e.g., certain medications must be taken before others, or certain combinations are disallowed).
  3. + 1 more questions in this round (sign up to unlock)
5

Behavioral / Leadership

8
  1. 8

    Type · Conflict Resolution

    Tell me about a time you had a significant disagreement with a cross-functional team member (e.g., engineer, designer, sales) about a product decision. How did you approach the situation and what was the outcome?
  2. 9

    Type · Ownership

    Tell me about a time you took ownership of a problem or project that wasn't explicitly assigned to you. What was the situation, and what was the outcome?
  3. + 6 more questions in this round (sign up to unlock)

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Interview tracks at Accurx

How Accurx's DNA translates across functions. Pick your role.

Compare Accurx with similar employers

Same DNA, different bar. Browse the closest companies in our database and see how their loops differ.

Practice Accurx interviews end-to-end

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