Best Identity Governance and Administration (IGA) for healthcare: One Identity Manager

Today, it’s pivotal for patients to have reliable and widespread access to their medical records and digital services. Clinics and hospitals also need a way to secure and protect this access so that only the right people can reach sensitive data.

This is why Identity Governance and Administration (IGA) is so important for healthcare. IGA gives health systems a structured way to manage user identities and control who receives access to specific tools or patient information. It supports safer operations and helps meet strict regulatory requirements like HIPAA and NIS2. Learn why One Identity Manager is the top IGA tool for the healthcare sector.

Identity Governance and Administration is a framework that helps control how users are given access in a secure environment. It covers the full identity lifecycle from onboarding to removal and makes sure every access step follows security rules and compliance needs.

Why healthcare organizations need IGA

• Granular control over who gets access to patient data or internal tools
• Faster onboarding and role changes across clinical and non-clinical staff
• Stronger compliance with regional and international health data laws
• Clear audit trails that make investigations and assessments smoother

HealthCare security challenges without IGA

Without IGA, healthcare organizations can face problems like:

• Staff receiving access they no longer need
• Delayed removal of accounts for temporary workers or vendors
• Gaps in audit records that make compliance checks harder
• Increased risk of unauthorized access due to unmanaged privileges

One Identity Manager is a comprehensive solution designed to manage identities and access across the entire enterprise. It gives healthcare organizations a single system to automate and control user access and account changes, and keep all identity activities aligned with security and compliance needs.

Core capabilities and architecture of One Identity Manager

• One Identity Manager supports cloud, on-premise and hybrid deployment modes
• Governance visibility showing who has access to data and apps, when they gained it and how that access is used
• SAP certified controls that improve SAP security models and bring SAP accounts under governance with Identity Manager
• Attestation features that let business teams approve or deny access and group entitlements
• Privileged access governance that manages standard access and privileged access in one system
• Compliance reporting that produces clear reports for user access and privileged access
• Behavior-driven governance that uses access insights from OneLogin to guide policy decisions

Use cases

• Healthcare providers: Make sure all types of users have the exact access they need and support timely and safe healthcare delivery
• Hospital: Simplify compliance by removing risky access and keeping electronic health record access consistent
• Insurance: Improve access management to health data while lowering security issues and compliance risk

Provisioning and de-provisioning in healthcare are fully automated processes in One Identity Manager. This removes manual steps and keeps access aligned with each user’s role from the moment they join until the moment they leave.

A typical workflow looks like this:

1. A new worker record enters the HR system and triggers an automated identity creation process
2. The system assigns access based on role templates that match the person’s job
3. Required accounts and entitlements are created across connected systems and apps
4. Any changes in the worker’s role update their access in a steady and automatic way
5. When the worker leaves, the system disables accounts across all platforms and removes entitlements
6. Final access checks confirm that no active accounts or privileges remain

Access requests in One Identity Manager follow clear steps and rely on an easy self-service portal. Users can request what they need, and the system routes the request to the right approver while keeping every action recorded for audits.

A typical workflow looks like this:

1. A user signs in to the self-service portal and selects the needed entitlement from the shopping-cart style menu
2. The request goes to the assigned approver based on the user’s role and the type of access
3. The approver reviews the request and either grants it or rejects it
4. Once approved, the system provisions the access across the connected apps
5. Periodic certifications prompt managers to review and renew or revoke access based on current role needs

Administrators can define fine-grained permission sets that follow the principle of least privilege. This keeps access limited to what each user or system account truly needs.

• Role-based access control: Assign access based on job roles to keep permissions steady and predictable
• Attribute-based access control: Grant or deny access based on attributes such as department or location
• Non-human identity management: Control access for service accounts and automated processes the same way you control access for human users
• Segregation of Duties: Implement controls that prevent conflicting access, like giving a user permission to prescribe and dispense medicine at the same time

One Identity Manager offers robust auditing and reporting tools that help healthcare organizations meet strict regulatory demands (e.g., GDPR, PCI-DSS, HIPAA, SOX and ISO/IEC 27001 etc.) and keep every identity action traceable.

HIPAA and regulatory compliance features

• Strong access controls that limit who can reach protected health information
• Reporting packs that show access patterns and help prove compliance during audits
• Automated reviews that keep permissions aligned with HIPAA rules

Detailed auditing and activity reporting

• Full activity logs that record every access event across connected systems
• Alerts that highlight unusual actions early to support insider threat detection
• Forensic-ready reports that help teams investigate incidents with clear evidence

Dashboards and analytics

• Dashboards that show identity risks, pending reviews and access trends
• Analytics that highlight permission misuse or rising access issues
• Recognition from analysts like Gartner for strong identity governance features

A reliable Identity Governance and Administration setup is a must-have for any healthcare organization. It keeps access steady and supports ongoing compliance needs. One Identity Manager has all the features you need in one place to manage identities and keep patient data protected. Request a free virtual trial today to see how it works in your environment.