Senior IAM Security Engineer in Nashville, Tennessee, United States
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HCA Healthcare

Senior IAM Security Engineer

Nashville, TN, United States
Full-time • Days 7-10 Hrs/Wkdays Only
Information Technology   Job ID: 27820
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Do you have the career opportunities as a Senior IAM Security Engineer you want with your current employer? We have an exciting opportunity for you to join HCA Healthcare which is part of the nation's leading provider of healthcare services, HCA Healthcare.


We are committed to providing our employees with the support they need. At HCA Healthcare, we offer eligible colleagues an attractive benefit package that includes medical, wellbeing, dental and vision benefits along with some unique benefits including:

  • Medical, Dental, Vision, Life Insurance and Flexible Spending
  • Paid Time Off (PTO) and Personal Leave
  • 401K (100% annual match - 3% to 9% of pay based on years of service)
  • Academic Assistance and Reimbursements for Tuition and Student Loans
  • Employee Discounts including Tickets, Retail, Mental Health Apps, Education Apps, Identity Theft Protection etc.
  • HomeAuto, and Pet Insurance
  • Employee Stock Purchase Program (ESPP)
  • Short Term Long Term Disability coverage
  • Adoption Assistance
  • Legal Benefits and lots more!

Learn more about Employee Benefits

Our teams are a committed, caring group of colleagues. Do you want to work as a Senior IAM Security Engineer where your passion for creating positive patient interactions are valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!


The Senior IAM Security Engineer is a part of a key team of technology professionals that help HCA Healthcare secure and effectively use the AzureAD IAM platform. The Senior IAM Engineer is also a key stakeholder in improving technology, service reliability, and processes, in addition to being a subject matter expert for peers both internal and external to the IAM team .

We are looking for a skilled engineer to administer, maintain, and implement solutions in a multi-cloud environment. The right candidate will have experience in building IAM solutions within AzureAD and at least one other cloud IAM platform (AWS or GCP).

This person will be a part of a team that is agile and collaborative, working together to develop, implement, maintain, and document technical solutions. We are serious about our work, but we also know how to have fun while engaged in this crucial service.

This individual will work independently and collaboratively to build and maintain identity management solutions that meet organizational needs. They will exhibit a high degree of self-motivation as well as possessing excellent communication, documentation and relationship building skills.

The Senior IAM Security Engineer will also work closely with the Information Protection & Security department to implement and maintain HCA Healthcare’s cybersecurity goals.



Perform as a technical support engineer for our AzureAD implementation which provides identity services to a multi-cloud environment.

Support AzureAD P2 feature configuration options such as PIM, Conditional Access, Identity Governance, etc.

Mentor junior level staff

Enable App Registrations, Service Principals, and Managed Identities with a critical eye towards security

Manage changes according to change management policies and processes for supported systems.

Develop and generate reports and metrics including alerting and monitoring KPI’s.


Participate as a consultant in collaborative discussion with various business owners and technical resources to provide creative cloud IAM solutions while adhering to HCA Information Protection best practices.

Design, implement, and support complex IAM integrations for both employee and consumer identities.

Identify and recommend solutions to optimize existing processes and procedures related to identity management systems.

Optimize IAM policies for reusability and automation


Supports HCA’s multi-cloud project initiatives across all three major cloud platforms (Azure, GCP, AWS).

Other duties as assigned


Bachelor’s Degree – Preferred

Experience can substitute for degree


5 or more years - Required



Active Directory concepts and technologies



Advanced Identity & Access Management concepts

Identity Federation

Fully recognize the business or regulatory drivers behind IAM

Role based access controls

Access control standards and best practices

Understanding of major IAM tools and services

AAD Privileged Identity Management

Privileged Access Management

Multi Factor Authentication / Conditional Access

Implementation/Configuration experience with two cloud IAM solutions (AAD, AWS, GCP)

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

PowerShell experience (Preferred)

Terraform (Preferred)

Regulatory compliance (HIPAA, PCI, SOX) (Preferred)

Desktop and productivity tools

Operating System command line skills

Windows Server


CISSP (Preferred)


Effectively coordinate activities across groups

Strong written and verbal communication skills

Ability to communicate with impact

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


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 (Preferred)

Political climate

HCA Healthcare direction and priorities

Lines of business

Reporting structures


Prolonged periods of sitting at workstation using desktop device and phone

Some light travel may be required

Periodic after hours on-call

ITG transforms healthcare and gives people healthier tomorrows. We deliver information technology strategy, support, and solutions. ITG improve and enhance patient care and business operations. We deliver services at administrative locations, data centers, and hospitals. The facilities we support are located in 20+ states and the United Kingdom. Our team works to move healthcare forward. We do this by seeking, embracing, developing, and delivering technology for patient care.

HCA Healthcare has been named one of the World's Most Ethical Companies by Ethisphere Institute for over a decade.  In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Senior IAM Security Engineer opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.


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Information Technology
Full-time • Days 7-10 Hrs/Wkdays Only

About HCA Healthcare

What matters most to our diverse and talented colleagues is giving people the absolute best healthcare in the most compassionate way possible.

Learn more about HCA Healthcare chevron_right

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