Preparing for an interview at NexHealth requires a structured approach that demonstrates both your technical capability and your executive presence. Because the company operates at the foundational layer of healthcare technology, you must show that you can dive deep into technical details without losing sight of the broader business strategy.

Technical & API Acumen – You must understand how APIs work, how data synchronizes between cloud and on-premise databases, and how developers interact with platforms. Be prepared to discuss RESTful design, webhooks, and data mapping strategies.

Structured Problem-Solving – Interviewers will evaluate how you break down complex, ambiguous problems into manageable product phases. You should use clear frameworks to explain your prioritization, trade-offs, and roadmapping decisions.

Executive Presence & Communication – You will interact directly with senior leadership, including the CEO, CTO, and Head of Product. Demonstrating confidence, clarity, and the ability to defend your product decisions under pressure is critical.

Resilience & Execution Focus – NexHealth operates with a high sense of urgency. You need to show that you are comfortable with rapid execution, feedback loops, and pivoting when necessary to meet business goals.

The interview process for a Product Manager at NexHealth is designed to evaluate your technical capabilities, product intuition, and presentation skills through a series of rigorous conversations and a practical assignment. The process moves quickly, reflecting the high-execution culture of the organization.

The journey begins with an initial recruiter screen to align on your background and salary expectations. This is followed by a 30-minute conversation with the hiring manager, focusing on your past product achievements and high-level product philosophy. Next, you will speak with the CTO for a 30-minute technical session to assess your comfort level with APIs, integrations, and developer platforms.

The final stage is highly comprehensive, consisting of a take-home product assignment followed by a 60-minute presentation to the CEO, Head of Product, and Head of Engineering. This stage is designed to simulate real-world product planning and roadmapping at NexHealth, testing your ability to defend your ideas in front of key executive decision-makers.

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The visual timeline outlines the typical progression from the initial recruiter outreach to the final executive presentation. You should use this timeline to pace your preparation, ensuring you allocate sufficient time to practice your technical explanations before the CTO round, and polish your slide deck for the final presentation. While the steps are standardized, the team moves fast, and you should be prepared to complete the entire process within a few weeks.

API & Integration Strategy

Because NexHealth built its business on a universal API that syncs with legacy EHRs, understanding developer platforms is a core requirement for this role. You must prove that you can build products that developers love to use while handling the messy reality of legacy healthcare infrastructure.

Be ready to go over:

• Developer Experience (DX) – Designing clean API documentation, SDKs, and onboarding flows that reduce time-to-first-API-call.
• Data Synchronization – Handling read/write conflicts, webhook reliability, and managing sync schedules across thousands of distributed databases.
• EHR Ecosystems – Navigating the constraints of major EHR providers and understanding how to build abstraction layers over highly varied data models.
• Advanced concepts (less common) – Optimizing data payloads for mobile vs. web clients, managing rate limiting and API throttling, and designing secure authentication flows for third-party integrations.

Example scenarios:

• "How would you design a system to synchronize patient records in real-time when the underlying EHR only allows batch updates once per day?"
• "What strategies would you use to encourage developers to migrate from an older version of your API to a newly released version?"

Executive Presentation & Take-Home Execution

The final round at NexHealth relies heavily on a take-home assignment where you will solve a realistic product problem and present your solution to executive leadership. This stage evaluates your strategic thinking, product design capability, and communication style.

Be ready to go over:

• Problem Definition – Identifying the core user pain point and defining clear business goals for your proposed solution.
• Roadmapping & MVP Scope – Defining what goes into the initial release versus subsequent iterations to deliver value quickly.
• Go-To-Market (GTM) Strategy – Explaining how you will launch the product, drive adoption among developers or clinics, and measure success.

Example scenarios:

• "Present a 3-quarter roadmap for launching a new patient scheduling widget, including your prioritization framework and key success metrics."
• "Defend your choice of a specific API design pattern over an alternative suggested by the Head of Engineering during your presentation."

Product Execution & Prioritization

As a PM, you will have to make tough choices daily regarding where to allocate engineering resources. Interviewers want to see a logical, repeatable process for how you make these trade-offs.

Be ready to go over:

• Prioritization Frameworks – Utilizing data-driven methods to rank features based on impact, effort, and strategic alignment.
• Managing Technical Debt – Balancing the delivery of new user-facing features with necessary platform maintenance and scaling initiatives.
• Stakeholder Management – Aligning engineering, sales, and customer success teams around a single cohesive product vision.

Example scenarios:

• "A major enterprise customer threatens to churn unless you build a custom integration. How do you evaluate this request against your existing roadmap?"
• "How do you decide when to build a core technology in-house versus partnering with a third-party service provider?"