IAM Engineer

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, runbooks, and workflow documentation.

Collaboration & Client Engagement

• Partner with IAM, ServiceNow, HR/Workday, Operations, PMO, and client teams.
• Communicate status, risks, dependencies, and decisions clearly and professionally.
• Support escalations and promote transparency throughout go-live and hypercare activities.
• Translate technical IAM concepts into clear business impact and operational value.

Minimum Qualifications

• Three or more years of experience in Identity and Access Management, cybersecurity, access provisioning, security operations, or a related technology function.
• Experience supporting identity lifecycle management, including joiner, mover, leaver, rehire, transfer, and access change processes.
• Experience working with workflow platforms, access request processes, system integrations, or process automation.
• Knowledge of RBAC, least privilege, and access governance.
• Experience with APIs, scripting, or automation.
• Understanding of SSO, MFA, SAML, OAuth, and LDAP.
• Strong troubleshooting, documentation, communication, and stakeholder engagement skills.

Preferred Qualifications

• Experience supporting client onboarding, implementations, or large-scale transformation initiatives.
• Background in healthcare or regulated environments.
• Familiarity with ITSM platforms, cloud identity solutions, and SaaS application environments.
• Experience supporting audit, compliance, access reviews, or control validation activities.
• Relevant certifications such as Security+, ITIL, CISSP, or CISM.

Core Competencies

• Customer obsession and commitment to delivering reliable, high-quality access services.
• Strong ownership, accountability, and follow-through across implementation and operational activities.
• Ability to simplify complex IAM concepts and communicate effectively with technical and business stakeholders.
• Continuous improvement mindset with a focus on automation, standardization, scalability, and measurable outcomes.

Technical Skills

• Identity lifecycle management (JML).
• RBAC and entitlement mapping.
• Access request workflows and SLA tracking.
• APIs and integrations such as REST, SCIM, and JSON.
• Authentication including SSO, MFA, SAML, and OAuth.
• Automation, scripting, and cloud/SaaS identity concepts.

Soft Skills

• Strong communication and stakeholder engagement.
• Client-facing professionalism.
• Attention to detail and accountability.
• Problem-solving orientation and commitment to continuous improvement.

• This position pays between $84,000 - 144,900 based on experience

• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

• This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Why Join Ensemble?

At Ensemble, you will have the opportunity to work on meaningful healthcare technology and security challenges while contributing to a growing, innovation-focused IAM program. This role offers exposure to enterprise identity platforms, client onboarding, automation, access governance, ServiceNow workflows, Workday-driven lifecycle processes, and cross-functional collaboration with teams across Technology Security, Operations, HR, PMO, and client delivery.

Posting Summary: This role is ideal for an IAM professional who wants to help deliver consistent, automated, secure, and audit-defensible access capabilities that support successful client implementations and scalable IAM operations at Ensemble Health Partners.

Join an award-winning company

Five-time winner of “Best in KLAS” 2020-2022, 2024-2025

Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024

22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024

Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024

Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023

Energage Top Workplaces USA 2022-2024

Fortune Media Best Workplaces in Healthcare 2024

Monster Top Workplace for Remote Work 2024

Great Place to Work certified 2023-2024

• Innovation
• Work-Life Flexibility
• Leadership
• Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.

Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.

Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact View email address on click.appcast.io.

This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.

Employment Disclaimers – Ensemble