
501 - 1000 employees
Founded 2023
🏥 Healthcare
🤝 B2B
💼 Consulting
Healthcare • B2B • Consulting
Xtensys is a healthcare IT services and consulting company founded by two non‑profit healthcare organizations (a health system and a payer) that helps community and provider-based healthcare organizations deploy, operate, and optimize enterprise clinical and IT systems. Xtensys offers Epic EHR implementation and support, managed IT and infrastructure services, information security (including vCISO services), integration and applications, and end‑to‑end revenue cycle management. The company emphasizes making enterprise-grade healthcare technology affordable and accessible, supports AI/ML readiness, and serves community and critical-access hospitals, ambulatory and specialty clinics, FQHCs, physician groups, and addiction/rehabilitation facilities. Xtensys operates a largely remote workforce (HQ in Ithaca, NY) and positions itself as an extension of provider teams.
🔥 0 minutes ago
🏈 Alabama, Alaska, +43 more states – Remote
💵 $135k - $150k / year
⏰ Full Time
🟠 Senior
🏛️ Architect
👻 Ghost score 0%
Where this job comes from
Posted on Xtensys's careers page, not through a job board
First seen by Remote Rocketship 0 minutes ago

501 - 1000 employees
Founded 2023
🏥 Healthcare
🤝 B2B
💼 Consulting
Healthcare • B2B • Consulting
Xtensys is a healthcare IT services and consulting company founded by two non‑profit healthcare organizations (a health system and a payer) that helps community and provider-based healthcare organizations deploy, operate, and optimize enterprise clinical and IT systems. Xtensys offers Epic EHR implementation and support, managed IT and infrastructure services, information security (including vCISO services), integration and applications, and end‑to‑end revenue cycle management. The company emphasizes making enterprise-grade healthcare technology affordable and accessible, supports AI/ML readiness, and serves community and critical-access hospitals, ambulatory and specialty clinics, FQHCs, physician groups, and addiction/rehabilitation facilities. Xtensys operates a largely remote workforce (HQ in Ithaca, NY) and positions itself as an extension of provider teams.
• Design, document, and drive maturation of identity and access management capabilities across Xtensys and its customers • Proactively monitor identity systems, access patterns, lifecycle workflows, and audit logs for anomalies and policy violations • Investigate anomalies, document root causes, and implement or recommend corrective actions • Maintain monitoring practices for stale accounts, orphaned access, offboarding compliance, and privilege creep • Maintain a risk and improvement register for the IAM program • Assess, document, and baseline Joiner, Mover, Leaver, Leave of Absence, and Reactivation workflows • Maintain architecture diagrams, process flows, and system integration maps • Design, implement, and optimize lifecycle workflows across Active Directory, Microsoft Entra ID, and integrated SaaS platforms • Automate lifecycle work in ManageEngine ADManager Plus and improve Jira and Workday integrations • Implement ManageEngine M365 Manager for Microsoft 365 lifecycle management, governance reporting, and access controls • Design and implement access certification campaigns, attestation workflows, and governance reporting • Develop roadmaps for automation and governance capability expansion • Design and implement enterprise RBAC models across Active Directory and Entra ID • Conduct access reviews, recertifications, and audit evidence collection • Develop and enforce IAM policies and lifecycle SLAs • Partner with cybersecurity and compliance teams on HIPAA, NIST 800-53, and audit requirements • Serve as senior technical escalation point for identity-related tickets, provisioning failures, and access disputes • Monitor IAM infrastructure and proactively remediate performance, availability, and security issues • Mentor or provide technical direction to junior IAM team members without formal supervisory responsibility
• 8+ years of hands-on IAM experience with design, implementation, and operational ownership of enterprise identity systems • Experience producing current state assessments, IAM program roadmaps, and executive-facing communications • Experience designing and managing Joiner, Mover, Leaver workflows in complex multi-domain or post-merger environments • Experience with Workday-to-Active Directory integration, HR-driven provisioning, attribute mapping, and lifecycle synchronization • Experience in healthcare or regulated industry environments with HIPAA compliance obligations • Deep expertise with Microsoft Active Directory and Microsoft Entra ID, including hybrid identity, Conditional Access, and delegated administration • Strong PowerShell scripting capability • Proficiency with ManageEngine ADManager Plus • Experience with ManageEngine M365 Manager • Experience with SAML, OAuth 2.0, OIDC, SCIM, and LDAP protocols • Working knowledge of Jira • Experience designing IAM programs in post-merger or multi-entity environments • ManageEngine Certified Professional or equivalent IGA platform certification preferred • Microsoft Identity and Access Administrator (SC-300) or equivalent Entra ID certification preferred • On-call support may be required approximately once every six weeks • Occasional travel (5% or less) may be required • Sedentary work requiring exertion of up to 10 pounds of force occasionally
• Autonomy and ownership of projects • Opportunities to expand skillset and mentor others • Potential mentoring or technical direction responsibilities • Remote work arrangement • Occasional travel (5% or less) for team meetings and collaboration
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