I completed a brief phone interview before coming for my first in-person interview with a Support Manager. The initial interview was not difficult at all--it felt more like the job was being pitched to me. The manager obviously had an outline of points to go through with me, after which he asked if I had any questions. I asked a few intelligent questions about the software and the company's future after the Meaningful Use rush expires, but in retrospect I'm sure it wouldn't have mattered if I had asked nothing. The second round of interviews involves a 5-10 minute presentation on any topic of your choice to a group of managers and directors. Since your primary function as a support rep is to provide pre-implementation training, they want to see that you are comfortable in a presenting role. The atmosphere of the presentation was very casual. My interviewees asked no difficult questions and goofed around with each other, which put me at ease. After the presentation, all but one cleared the room and a short formal interview followed. I got the phone call with an offer about a week later.