IAM Engineer
Ensemble Health PartnersAbout the role
Thank you for considering a career at Ensemble!
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
IAM Engineer – Client Implementation & Automation
Company Overview
Ensemble Health Partners is a leading healthcare revenue cycle management organization focused on delivering operational excellence, innovation, and meaningful outcomes for healthcare providers and the patients they serve. Our Technology Security organization plays a critical role in protecting Ensemble, enabling secure business operations, and supporting scalable growth across enterprise and client environments.
Job Summary
The IAM Engineer – Client Implementation & Automation is responsible for supporting secure, scalable, and audit-ready identity and access management capabilities across Ensemble’s client and enterprise environments. This role helps ensure Day-1 access readiness by translating client requirements into access models, workflows, role-based access mappings, automation opportunities, testing plans, and operational support practices.
This position works within Ensemble’s IAM operating model, supporting an identity-first, automation-first, and RBAC-first approach to client onboarding, lifecycle management, access governance, and continuous improvement. The ideal candidate is a hands-on IAM professional with strong technical troubleshooting skills, process discipline, documentation quality, and the ability to partner effectively across IAM, ServiceNow, HR/Workday, Operations, PMO, application owners, and client stakeholders.
Essential Job Functions
Client Implementation & Readiness
- Support IAM delivery across all onboarding phases, including discovery, design, build, UAT, go-live, and stabilization.
- Translate client requirements into access models, workflows, and RBAC mappings.
- Coordinate readiness activities across key milestones, including T-30, T-10, T-0, and T+10.
- Maintain clear and complete documentation, including requirements, workflows, UAT results, and runbooks.
Access Workflow & Lifecycle Management
- Design and support access request workflows through ServiceNow or other approved intake channels.
- Ensure access requests capture the required data for provisioning, approvals, and audit evidence.
- Manage identity lifecycle processes including Joiner, Mover, Leaver, rehire, and client changes.
- Identify and resolve workflow, approval, and provisioning issues in a timely and effective manner.
RBAC & Access Governance
- Maintain RBAC models, entitlement mappings, and access profiles.
- Ensure access is aligned with least-privilege principles and approved role definitions.
- Support access reviews, certifications, and exception handling.
- Document risks, exceptions, and compensating controls.
Automation & Integration
- Develop automation that reduces manual provisioning effort and improves operational scalability.
- Support integrations across IAM, ServiceNow, HR/Workday, and applications.
- Leverage APIs, scripting, and workflows for lifecycle automation.
- Identify, document, and track automation opportunities and technical debt.
Audit & Operations
- Maintain complete and traceable audit evidence for access-related activities.
- Support SLA tracking, operational reporting, and leadership visibility.
- Manage exceptions with clear ownership, documented rationale, and remediation plans.
- Contribute to SOPs, runbo
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