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Healthcare · 12,000 employees

Healthcare Network

Access Governance & SOX Readiness

GovernanceEntra ID10 weeks
−75%
Review cycle time
Eliminated
Standing admin roles
Automated
Audit evidence

The challenge

The healthcare network certified access through spreadsheets emailed to managers each quarter — a process that took six weeks, produced inconsistent evidence, and repeatedly drew audit findings. Privileged roles were permanently assigned, and no one could quickly answer who had access to clinical systems.

The approach

  1. 1

    Mapped current access and audit gaps against SOX and internal control requirements.

  2. 2

    Designed an RBAC model and role catalog aligned to job functions.

  3. 3

    Configured Entra ID Access Reviews for automated quarterly attestation campaigns.

  4. 4

    Implemented Privileged Identity Management (PIM) for just-in-time role activation with approval.

  5. 5

    Built an audit-evidence package mapping controls to generated reports.

The outcome

Access reviews now run automatically with timestamped evidence, privileged roles are activated just-in-time, and the network resolved its recurring audit findings.

Manual review effort
−75%
Recurring audit findings
Closed
JIT privileged activation
Live

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