Lead Identity Access Management Administrator, Information Technology, Full-Time, Days

MarinHealth Medical Center•San Rafael, CA

6d•$60 - $90

About The Position

Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch. MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. The Lead Identity & Access Management (IAM) Administrator serves as the technical and operational lead for identity lifecycle management, access governance, and security controls across MarinHealth systems. Operating with a high degree of independence, this role ensures the right access is provided to the right people at the right time by designing, administering, and optimizing IAM processes and tools. The Lead IAM Administrator partners closely with IT, Security, HR, and Compliance teams to support secure provisioning and deprovisioning, perform manual data reconciliation and process documentation when systems such as Workday are not fully integrated with Active Directory, and resolve complex access issues. This role requires strong leadership and communication skills and plays a critical role in protecting patient data, enabling workforce productivity, and supporting MarinHealth’s mission of safe, high-quality patient care.

Requirements

Bachelor’s degree in Information Technology, Cybersecurity, Computer Science, or a related field or equivalent combination of education and experience
5+ years of progressive experience in Identity & Access Management, information security, or enterprise systems administration
Demonstrated experience leading IAM initiatives in a complex, regulated environment (healthcare strongly preferred)
Hands-on experience with IAM tools, directory services, authentication methods, and access governance platforms
Expert understanding of identity lifecycle management and access controls
Strong knowledge of authentication, authorization, SSO, MFA, and role-based access models
Ability to interpret regulatory and security requirements and translate them into operational controls
Strong analytical, troubleshooting, and documentation skills
Ability to communicate clearly with technical and non-technical stakeholders
High degree of professionalism, accountability, and attention to detail

Nice To Haves

Healthcare IAM experience supporting clinical and enterprise applications
Experience integrating IAM with HR systems (e.g., Workday)
Familiarity with audit processes, access certifications, and security frameworks

Responsibilities

Lead the design, administration, and ongoing optimization of IAM solutions, including user provisioning, deprovisioning, role-based access, and entitlement management
Serve as the subject matter expert for IAM tools and integrations supporting clinical, administrative, and enterprise systems
Ensure access controls align with least-privilege principles and healthcare regulatory requirements
Oversee access reviews, audits, and certifications to support compliance with HIPAA, Joint Commission, and internal security standards
Partner with HR, Security, and Compliance to ensure timely access changes related to hires, transfers, leaves, and terminations
Document and maintain IAM policies, procedures, and controls
Act as escalation lead for complex access issues and identity-related incidents
Analyze root causes, implement corrective actions, and drive continuous improvement
Support on-call or after-hours access issues as required
Collaborate with IT Infrastructure, Security, Application teams, HRIS, and Clinical Systems to ensure seamless identity integrations
Translate business and clinical access needs into secure technical solutions
Support new system implementations and upgrades from an IAM perspective
Provide guidance and mentorship to IAM administrators or analysts
Establish best practices, standards, and documentation to improve team effectiveness
Influence access governance decisions without direct authority