At Everly Health, an Engineering Manager is a pivotal leader who bridges the gap between advanced health technology, robust system integrations, and operational excellence. The company is on a mission to modernize diagnostics and clinical operations, making healthcare more accessible and seamless for millions of users. In this role, you will lead high-performing engineering teams to build and scale the infrastructure that powers home diagnostics, clinical oversight, and B2B enterprise integrations.

Your impact will be felt across the entire healthcare delivery pipeline. Whether you are leading teams focused on core product engineering or directing the technical implementation for enterprise clinical operations, you will be responsible for ensuring that critical health data flows securely, reliably, and in real time. You will manage the complex technical challenges of scaling API integrations with laboratory networks, securing sensitive patient data under strict compliance frameworks, and delivering intuitive digital experiences for both consumers and enterprise clients.

This position requires a unique blend of deep technical expertise, strategic product thinking, and empathetic people leadership. You will not only guide the architectural direction of your systems but also mentor engineers, align with cross-functional stakeholders in product and operations, and directly influence the company's technology roadmap. It is a challenging, high-stakes environment where engineering quality directly correlates with patient care and outcomes.

To succeed in the Everly Health interview process, you must be prepared for a diverse set of questions that evaluate your technical depth, leadership philosophy, and ability to manage complex integrations. The questions below are representative of real interview experiences for engineering leadership roles at the company. They are designed to assess patterns in how you solve problems, lead teams, and collaborate with stakeholders.

Technical Integration & System Design

These questions evaluate your ability to design scalable, secure, and resilient systems, particularly when integrating with third-party networks or handling complex data pipelines.

• How do you design a high-throughput API integration with an external partner while ensuring system reliability and data consistency?
• Describe a time when you had to migrate a legacy system or database to a modern architecture. How did you manage risk and minimize downtime?

Preparing for an Engineering Manager interview at Everly Health requires a holistic approach. You must demonstrate that you are not only a competent technologist but also a strategic leader who understands the operational realities of a modern digital health company.

To stand out, align your preparation around these core evaluation criteria:

Technical Architecture & System Design – You must show that you can design systems that are secure, scalable, and highly available. Be ready to discuss API design, data modeling, cloud infrastructure, and security compliance (such as HIPAA) in depth.

Operational & Delivery Leadership – Interviewers will look at how you manage projects, allocate resources, and deliver on roadmaps. You should demonstrate a structured approach to scoping work, managing risks, and driving operational efficiency.

People & Culture Management – Everly Health highly values collaborative, empathetic leadership. You will be evaluated on your ability to build diverse teams, foster a culture of continuous learning, and resolve conflicts constructively.

Stakeholder Alignment – As an engineering leader, you must communicate effectively with non-technical partners, including product managers, clinical operations teams, and external enterprise clients. You need to show that you can translate complex technical challenges into clear business outcomes.

The interview process at Everly Health is designed to be highly structured, collaborative, and communicative. Candidates consistently report a seamless experience, characterized by transparent communication from recruiters and a logical progression of stages. The process focuses on evaluating both your technical execution capabilities and your leadership philosophy through real-world scenarios rather than abstract puzzles.

The journey begins with an initial conversation with a recruiter to align on your career goals, background, and the specific needs of the engineering organization. This is followed by a deep-dive conversation with the hiring manager—often a Director of Engineering or the CTO—to explore your technical leadership style and past experiences. From there, you will move to a comprehensive panel round involving key cross-functional stakeholders, including product leaders and engineering peers, before concluding with a final project presentation.

The timeline above outlines the typical stages you will navigate during your candidacy. It highlights the progression from initial screening to the highly collaborative final rounds, allowing you to pace your preparation effectively. Use this visualization to plan your deep dives into system design and presentation prep as you advance through each stage.

Technical Integration & System Design

At Everly Health, engineering leaders are expected to maintain high technical standards. Even in management roles, you must be capable of guiding architectural decisions, especially regarding enterprise client integrations and clinical operations data flows.

Be ready to go over:

• API Design & Integration – Designing robust RESTful or GraphQL APIs that can handle high volumes of transactional health data.
• Data Security & Compliance – Implementing strict security controls, audit logs, and encryption standards to protect sensitive consumer and clinical data.
• Microservices & Event-Driven Architecture – Structuring services to decouple systems, utilizing message queues (e.g., Kafka, RabbitMQ) to handle asynchronous workflows.
• Advanced concepts – Healthcare-specific data standards (such as HL7 or FHIR), distributed consensus, and managing complex state machines across third-party laboratory systems.

Example scenarios:

• Designing an end-to-end integration flow that receives lab test orders from an enterprise partner, routes them to a partner laboratory, and securely delivers the results back to the patient.
• Outlining a strategy to migrate a critical, monolithic service to a microservices architecture without disrupting daily clinical operations.

Cross-Functional Leadership & Stakeholder Management

Building successful digital health products requires deep collaboration across engineering, product, clinical operations, and external client accounts. This evaluation area focuses on how you navigate complex organizational structures and build consensus.

Be ready to go over:

• Product & Engineering Alignment – Partnering with product managers to translate a high-level product vision into a realistic, phased technical roadmap.
• Enterprise Client Management – Acting as a technical advisor for key enterprise partners, managing custom integration requests, and setting realistic boundaries.
• Conflict Resolution – Navigating competing priorities between rapid product delivery, platform stability, and custom client requests.
• Advanced concepts – Managing service-level agreements (SLAs) with external partners and establishing key performance indicators (KPIs) for engineering delivery.

Example scenarios:

• Describing how you handled a situation where an enterprise client demanded a feature that deviated significantly from your core product roadmap.
• Explaining how you negotiated with a product partner to dedicate a sprint entirely to addressing critical technical debt.

The Project Presentation Round

A distinctive and highly critical stage of the Everly Health process is the project round. You will be provided with a real-world business or technical scenario and asked to present your proposed solution to a panel of key stakeholders.

Be ready to go over:

• Problem Structuring – Breaking down an ambiguous operational or technical challenge into clear, logical components.
• Solution Architecture – Presenting a clear technical and operational plan that addresses the prompt's requirements.
• Resource & Timeline Estimation – Outlining the team structure, dependencies, and milestones needed to execute your proposed solution.
• Executive Communication – Tailoring your presentation style to be engaging and clear for both technical and non-technical stakeholders.

Example scenarios:

• Presenting a comprehensive plan to onboard a major new laboratory partner, detailing the technical architecture, data mapping strategy, testing phases, and go-live timeline.
• Proposing an operational framework to improve the deployment velocity and code quality of an engineering team struggling with legacy codebases.