Tandem Health interview, decoded.

Tandem Health prints its engineering loop at the bottom of every job ad, and almost every engineering role gets the same four stages: a screen with talent acquisition, technical interviews with engineers from the team, a product-focused system design interview over lunch at the Stockholm office, and a follow-up with the CTO and co-founder, Oliver Åstrand. The system design day is the round to prepare for. The one candidate account of the technical stage describes a coding task in which you complete existing code and fix its bugs.

Tandem makes an AI medical scribe that turns a patient visit into a clinical note, and has added billing-code suggestions and clinical decision support on top of it. It was founded in Stockholm in 2023, is used by 10,000 care organisations in 14 European countries, and raised a $100M Series B led by EQT's Scaleup Europe Fund on 14 September 2026.

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The questions for your exact Tandem Health role and level.

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Interviewing at Tandem Health? Below are the questions candidates report. For the ones your exact role and level will get, paste the posting. Your first mock is free.

01

Who Tandem Health hires

Different tracks, one bar

Tandem hires into one product and engineering team in Stockholm. AI engineers build on large language models that are already in daily clinical use. Product engineers, senior engineers and design engineers work across a stack of Python, TypeScript and React on Kubernetes and Azure. Platform engineers run the infrastructure that holds patient data, and forward deployed engineers get the product working inside each clinic's and hospital's own systems. Every engineering role is based in the Stockholm office, and because Tandem handles patient data it runs a background check before anyone is hired.

The job ads describe three loops. Most engineering roles share the first; platform and analytics engineering replace the system design interview with a case you prepare and present in the office. Forward deployed engineering sits the main loop but is a different job, so it gets its own card.

  • Track · Product & AI

    Product, AI and design engineering

    AI engineer, senior AI engineer, product engineer, senior engineer, design engineer and product engineering lead. A screen, technical interviews with engineers, the product-focused system design interview over lunch in Stockholm, then the CTO and co-founder.

  • Track · FDE

    Forward deployed engineering

    The same four stages. The job is getting the product live in a customer's environment: debugging integrations, APIs, data flows and configuration, and writing the code that fills the gaps. The ad lists Python, TypeScript or C#, robotic process automation on the web or Windows, and any language beyond English, German in particular, as a plus.

  • Track · Platform & Data

    Platform and analytics engineering

    Platform engineers sit a screen, technical interviews, the CTO, then a home case presented at the office over lunch; the role covers Kubernetes, CI/CD, and encryption and key management for health data. Analytics engineers meet the data team and the Head of Data, then present a case in the office; the ad asks for excellent SQL and a dbt modelling layer in production.

02

What is the Tandem Health interview process?

Round by round

Every stage here comes from Tandem's own engineering job ads, read on 23 September 2026. The company says it selects continuously, so apply early, and asks for a CV in English. The one engineering account on Glassdoor covers the first two stages: a recruiter interview, a technical interview with an engineer, an answer the next day and about a week in all.

01
Screening interview
With talent acquisition

Your background and why Tandem, plus the practical questions: the role is in the Stockholm office and there is a background check. One candidate reports being told on the call that everyone in the organisation works overtime. If hours matter to you, ask here.

02
Technical interviews
With engineers from the team

Coding. The reported task is completing code someone else started and fixing its bugs, so the skill on test is reading unfamiliar code quickly. The stack in the ads is Python, TypeScript, React and Kubernetes.

03
System design interview
In the Stockholm office, with lunch

Tandem calls it product focused. Its product turns a recorded consultation into a note a clinician checks and signs, so expect a design where audio, a model and a clinician meet, with latency, model errors and patient data in the conversation. Lunch with the team is part of the day.

Product, AI, design and FDE roles
04
CTO and co-founder
A follow-up interview

Oliver Åstrand built AI products at Google X and Uber before co-founding Tandem. The ads give no agenda; the values every ad repeats (speed, ownership, impact on healthcare) are the likely ground.

05
Home case and presentation
Prepared at home, presented in the Stockholm office over lunch

Replaces the system design interview and comes after the CTO. The ad does not say what the case is; the job is Kubernetes, CI/CD and encryption for health data.

Platform engineering
06
Case presentation
In the Stockholm office, with lunch

After a technical discussion with the Head of Data. The job is owning the dbt models and the metric definitions the company runs on, and arguing for what the data shows.

Analytics engineering
03

What Tandem Health screens for

What every round is really testing

Every ad closes on the same line, that Tandem moves fast, thinks big and takes ownership. The roles themselves add product sense and care with patient data.

  • Speed: ship, hear from clinicians, improve, in short cycles
  • Ownership of a feature from the user's problem to production
  • Product sense: engineers define requirements and talk to clinicians as part of the job
  • Care with patient data: a background check before every hire and medical-device rules on the product
  • In the office in Stockholm, where the wider team also meets for offsites
04

Tandem Health interview questions

Drawn from the job ads

No candidate has published Tandem's system design prompt or its coding problems yet. The questions below come from what the ads say each role does, so use them to practise the shape of the loop.

Behavioural & motivation

  • Walk me through a feature you owned from the user's problem to production.
  • Tell me about an LLM feature you shipped that people relied on every day. What went wrong, and how did you find out?
  • Why Tandem, and why healthcare?
  • Forward deployed: tell me about getting a product to work inside a customer's system that was never built for it.
  • How do you work when priorities change every week?

Technical

  • Product system design: From recording to note: speech to text, the model call, a draft the clinician edits and signs, with latency and failure handled
  • LLMs in production: Prompting, orchestration, retrieval, agents, evaluation and monitoring, from the senior AI engineer ad
  • Speech and streaming: Streaming audio and transcription, listed as a plus for product and senior engineers
  • Integrations: APIs, data flows and medical record systems (Tandem reports more than 130 integrations), and RPA for forward deployed engineers
  • Patient data security: Encryption, key management and authentication on Azure and Kubernetes
  • Reading unfamiliar code: Completing existing code and fixing its bugs, the one reported coding task

These come from the job ads, and your loop is role-specific. Paste the actual posting and Calibrd predicts the questions for that exact role and level.

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05

Pay

What the offer looks like

Tandem publishes no salary ranges. The ads offer a salary and company stock options, 30 days of paid holiday, a pension, a SEK 5,000 wellness allowance plus SEK 6,000 a year for other health costs, private medical insurance and a parental leave top-up. Levels.fyi had no readable sample for Tandem on 23 September 2026. For the Stockholm level, our Stockholm software engineer salary page puts the Spotify, Klarna, King and Ericsson ladders side by side. Ask for the range, and how the options are valued, on the screening call. Calibrd benchmarks the pay on any posting you scan against its level and location.

06

How to prepare for a Tandem Health interview

In order
  1. 01Design a scribe before they ask you to: audio in, transcript, model, a draft note the clinician edits and signs. Raise latency, a misheard word and a model that invents a finding before the interviewer does.
  2. 02Practise finishing code you did not write and finding its bugs, out loud. It is the one coding task a candidate has reported.
  3. 03Know what Tandem sells today: the scribe, billing-code suggestions and decision support, all three certified as Class IIa medical devices under EU rules, and the plan to grow into an operating system for clinics.
  4. 04Ask about hours on the first call. One candidate was told everyone works overtime, and it is better to hear the real answer before the office day.
  5. 05Forward deployed engineers: bring a story about an integration that fought back, and say so if you speak German; the ad asks for it.
  6. 06Plan for the office. The system design round is in person in Stockholm, and every engineering role is based there.

This guide covers Tandem Health's engineering, platform and analytics loops in Stockholm. Clinical, sales and medical operations roles run a different loop that ends with a working day in the office. For management and leadership roles the loop is similar but the bar shifts to people, delivery and strategy, so pair it with the leadership interview prep hub. The bar for your exact role comes from the role-by-role guides, and the prep that actually transfers is spoken, so run a mock interview before the real one.

Knowing the questions isn’t the same as answering them out loud. Run a Tandem Health mock: spoken answers, coached on the spot. Your first mock is free.

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07

FAQ & sources

The short answers
What is Tandem Health's interview process?

Every stage here comes from Tandem's own engineering job ads, read on 23 September 2026. The company says it selects continuously, so apply early, and asks for a CV in English. The one engineering account on Glassdoor covers the first two stages: a recruiter interview, a technical interview with an engineer, an answer the next day and about a week in all. Screening interview: Your background and why Tandem, plus the practical questions: the role is in the Stockholm office and there is a background check. One candidate reports being told on the call that everyone in the organisation works overtime. If hours matter to you, ask here. Technical interviews: Coding. The reported task is completing code someone else started and fixing its bugs, so the skill on test is reading unfamiliar code quickly. The stack in the ads is Python, TypeScript, React and Kubernetes. System design interview: Tandem calls it product focused. Its product turns a recorded consultation into a note a clinician checks and signs, so expect a design where audio, a model and a clinician meet, with latency, model errors and patient data in the conversation. Lunch with the team is part of the day. CTO and co-founder: Oliver Åstrand built AI products at Google X and Uber before co-founding Tandem. The ads give no agenda; the values every ad repeats (speed, ownership, impact on healthcare) are the likely ground. Home case and presentation: Replaces the system design interview and comes after the CTO. The ad does not say what the case is; the job is Kubernetes, CI/CD and encryption for health data. Case presentation: After a technical discussion with the Head of Data. The job is owning the dbt models and the metric definitions the company runs on, and arguing for what the data shows.

What does Tandem Health look for in candidates?

Every ad closes on the same line, that Tandem moves fast, thinks big and takes ownership. The roles themselves add product sense and care with patient data. Speed: ship, hear from clinicians, improve, in short cycles Ownership of a feature from the user's problem to production Product sense: engineers define requirements and talk to clinicians as part of the job Care with patient data: a background check before every hire and medical-device rules on the product In the office in Stockholm, where the wider team also meets for offsites

What questions does Tandem Health ask in interviews?

No candidate has published Tandem's system design prompt or its coding problems yet. The questions below come from what the ads say each role does, so use them to practise the shape of the loop. Walk me through a feature you owned from the user's problem to production. Tell me about an LLM feature you shipped that people relied on every day. What went wrong, and how did you find out? Why Tandem, and why healthcare? Forward deployed: tell me about getting a product to work inside a customer's system that was never built for it. How do you work when priorities change every week? Product system design LLMs in production Speech and streaming Integrations Patient data security Reading unfamiliar code

How do I prepare for a Tandem Health interview?

Design a scribe before they ask you to: audio in, transcript, model, a draft note the clinician edits and signs. Raise latency, a misheard word and a model that invents a finding before the interviewer does. Practise finishing code you did not write and finding its bugs, out loud. It is the one coding task a candidate has reported. Know what Tandem sells today: the scribe, billing-code suggestions and decision support, all three certified as Class IIa medical devices under EU rules, and the plan to grow into an operating system for clinics. Ask about hours on the first call. One candidate was told everyone works overtime, and it is better to hear the real answer before the office day. Forward deployed engineers: bring a story about an integration that fought back, and say so if you speak German; the ad asks for it. Plan for the office. The system design round is in person in Stockholm, and every engineering role is based there.

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Paste a real Tandem Health posting and Calibrd predicts the questions for that role and level, benchmarks the pay, and flags the gaps an interviewer will probe in your CV — then listens to your spoken answers and coaches them. Your first mock is free. Calibrd is built in Stockholm, by a hiring manager who has run engineering hiring here, so this is a loop we know from the other side of the table.

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Tandem Health Interview Process: System Design — Calibrd