Manager IAM Engineering

HCA Nashville , TN 37201

Posted 2 months ago

WHY HCA Healthcare?

At its founding in 1968, Nashville-based HCA Healthcare was one of the nation's first hospital companies. Today, one of the nation's leading providers of healthcare services, HCA Healthcare is comprised of locally-managed facilities that include more than 250 hospitals and freestanding surgery centers in 20 states and the United Kingdom, employing approximately 230,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA Healthcare facilities resulting in more than 26M patient encounters each year. HCA Healthcare is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA Healthcare puts patients first and works to constantly improve the care we provide by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality.

Additional Facts:

  • Ranked 63 in Fortune 500

  • Competitive Fortune 100, industry matched salaries and yearly merit increase

  • Computerworld Top 50 Best Places to Work in IT annually since 2009

  • Named one of the "World's Most Ethical Companies" annually since 2010

  • 106 HCA Healthcare hospitals are on The Joint Commission's list of top performers on key quality measures.


The Manager of IAMS Identity Foundations is responsible for ongoing operational management of the HCA Healthcare's enterprise Active Directory, Domain Name Service, and Group Policy infrastructures and operations. The manager is responsible for managing and motivating a team of highly-specialized engineers supporting these critical systems, prioritizing operational and project work efforts, and overseeing the design and implementation of secure solutions to support Information Privacy & Security policies. These systems identify and authenticate users to a majority of the IT systems in use across the company, and therefore must meet the highest standards for availability and security; downtime would result in use of IT systems in hospitals and across the company coming to a halt, and failures in security could result in major data breaches and/or regulatory compliance failures.


% of Time and Description of Responsibility
20 % -Technical Expertise

  • Technical management of the enterprise Active Directory, DNS, Group Policy, and related tools and components. Maintaining secure authorization and authentication to the directory and its content, analyzing collected data to evaluate and maintain the health of these systems, and proactively define tasks required to ensure these business critical systems are functional and available 24 x 7.

  • Research and develop solutions to complex problems related to Active Directory use, manage and delegate secure access to resources, design and manage work efforts for identity management and application or system integration with Active Directory.

  • Describe to technical and non-technical audiences various types of authentication and authorization to the directory, integration of applications and systems, analyze strengths and weaknesses of various solutions that use the directory or its content. Manage efforts to determine business need and select solutions that provide users and applications in a multi-platform environment secure access to company resources.
    50 % - Operational Efficiency

  • Lead and motivate the team of engineers responsible for Active Directory, DNS, and Group Policy support. Prioritize and assign work both proactively and reactively, develop and implement training plans for team members, manage upward career paths and promote a positive work environment by using logic and analysis rather than force or authority to accomplish objectives.

  • Manage budgets, able to quantify costs and benefits of security solutions, and determine the enterprise's ability to pay for the security technology. Quantify and justify the "soft" costs and benefits and use them in a business case. Work with accounting and outside vendors on contract costs; negotiate contracts for purchases and ongoing maintenance costs. Analyze trends of system usage to plan for additional hardware requirements or software license purchases.
    20 %

  • Project Portfolio & Project Implementation
  • Evaluating and implementing plans for disaster recovery and business continuity for Active Directory and DNS systems.

  • Support internal and external projects and initiatives by providing expertise in Identity Management concepts.

  • Review all and provide appropriate IAM resource estimates for IT&S project portfolio.

  • Participates in the three year project portfolio planning and review process.
    10 % - Security/Audit Compliance

  • Investigates alleged IT security breaches and, if necessary, assists with disciplinary and legal matters associated with such breaches.

  • Interprets IT security requirements from external bodies, such as government agencies and standard-setting bodies and helps to develop security policies, standards, guidelines, procedures, and other elements of an infrastructure to support IT security.

  • Oversees the design and implementation of secure solutions to support Information Privacy & Security policies.

  • Monitors developments in the IT security field to identify new opportunities and new risks.

7 or more years

  • Preferred


Bachelor's Degree

  • Preferred

Experience can substitute for degree

Other Advanced Degree

  • IT Security/AD Related

  • Preferred

Experience can substitute for degree


Technical Skills

  • Active Directory concepts and technologies

  • Kerberos

  • NTLM

  • LDAP

  • DNS

  • Group Policy

  • Disaster Recovery

  • Security

  • Advanced Identity & Access Management concepts and HCA application

  • User lifecycle management

  • Dependence of major integrated systems

  • Fully recognize the business or regulatory drivers behind IAM

  • Role based access controls

  • Methods of systems integration Federation, LDAP, IWA

  • Access control standards and best practices

  • Understanding of major IAM tools and services

  • Unique identification

  • Provisioning / De-provisioning

  • Password management


  • Access Management

  • Strong authentication

  • Multi Factor Authentication

  • Advanced information security concepts

  • Data protection

  • Cryptography services

  • Risk management

  • Incident response

  • Web application security

  • Network security

  • Policy and standards

  • Data classifications

  • Directory services

  • Vendor support engagement


  • Proven leadership ability working with skilled technical teams managing an enterprise infrastructure

  • Works well under pressure

  • Effectively coordinate activities across groups

  • Drive limited internal projects and initiatives with little to no oversight

  • Support projects and initiatives that span organizational boundaries

  • Implement or improve processes affecting multiple groups and/or organizations

  • Coordinate activities within group

  • High degree of self-motivation

  • Independent worker

  • Customer focus takes ownership of issues and seeing issues through to resolution

  • Effective communications

  • Critical thinking and problem solving skills

  • Advanced organizational knowledge

  • Political climate

  • HCA direction and priorities

  • Lines of business

  • Reporting structures

  • CISSP preferred

  • Determining appropriate data to collect, methods of collecting and formatting data, how collected data is used for monitoring, analysis and trending of data.

  • Experience with budgets, long and short term costs, financial negotiations

Physical Demands / Working Conditions

  • Prolonged periods of sitting at workstation using desktop device and phone

  • Some light travel may be required

  • Periodic after hours on-call

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