Sr. Manager, Identity Management

OneOncology•Nashville, TN

1d•Onsite

About The Position

OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision. Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve. Job Description: Role Summary: The Sr. Manager, Identity & Access Management (IAM) leads the strategy, design, and execution of identity services across a complex, multi-entity healthcare organization. This role is responsible for building scalable, secure, and automated identity lifecycle processes that support rapid practice onboarding, regulatory compliance, and a high-quality user experience. This leader will oversee IAM engineering and operations, drive modernization of identity platforms (including Okta, Entra ID, Active Directory, and Workday integrations), and partner across IT, Security, HR, and clinical systems to ensure appropriate access governance and controls. This is a full-time onsite role in Nashville, TN.

Requirements

Bachelor’s degree in Information Technology, Computer Science, or related field (or equivalent experience)
7+ years of experience in Identity & Access Management, with 3+ years in leadership roles
Strong hands-on experience with: Okta (required) Microsoft Entra ID / Azure AD Active Directory (hybrid identity) Workday (or similar HRIS as source of truth)
Experience designing and implementing: SSO, MFA, federation (SAML/OIDC) Automated provisioning (SCIM, API-based) Identity lifecycle workflows
Experience in healthcare or other regulated environments (HIPAA required; HITRUST preferred)
Familiarity with identity governance tools and concepts (IGA platforms a plus)
Experience integrating IAM with clinical systems (EHR/EMR)
Experience supporting multi-site or distributed organizations
Familiarity with privileged access management (PAM) concepts
Strong leadership and team development experience in technical environments
Deep understanding of modern IAM principles (identity as the control plane)
Ability to balance security, compliance, and user experience
Process-oriented mindset with a focus on automation and scale
Strong stakeholder management across technical and non-technical teams
Analytical, data-driven approach to continuous improvement
Experience operating in fast-paced, high-growth or M&A-heavy environments
Attendance is an essential job function.

Nice To Haves

Certifications preferred but not required: CISSP, CISM, or equivalent Okta Certified Administrator Microsoft Identity certifications

Responsibilities

Lead and develop a high-performing IAM team, setting strategy, roadmap, and execution aligned to organizational growth, M&A activity, and compliance requirements.
Serve as the IAM subject matter expert, driving identity architecture, governance, and identity-first / Zero Trust security initiatives.
Own end-to-end identity lifecycle management (joiner/mover/leaver), integrated with Workday, with a focus on automation and scalability.
Design and implement automated provisioning/deprovisioning and onboarding processes across clinical, enterprise, and SaaS applications.
Lead administration and optimization of core identity platforms (Okta, Microsoft Entra ID, Active Directory, Workday), ensuring performance, scalability, and reliability.
Oversee identity integrations and standards (SAML, OIDC, SCIM, APIs) across enterprise systems.
Establish and mature access governance capabilities, including RBAC, access reviews, and segregation of duties.
Ensure compliance with healthcare regulations (HIPAA, HITRUST) and support audit and risk management activities.
Strengthen authentication and access controls (MFA, conditional access) and reduce identity-related risk.
Define and track IAM KPIs/SLAs, driving continuous process improvement, automation, and user experience enhancements.
Partner cross-functionally with HR, Security, IT, and application owners to deliver scalable identity solutions and support business needs.
Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.