A Modern, Scalable IGA Solution for a Large Healthcare Network

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A Modern, Scalable IGA Solution for a Large Healthcare Network

December 2, 2025
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Intro

A large California health network engaged Oxford Computer Group, a MajorKey Technologies company, to help them simplify, streamline, and improve their provisioning and deprovisioning process, as well as to stand up a modern, scalable identity and access management (IAM) infrastructure while reducing their overall cost of ownership.

The network’s technology stack was a hybrid of both custom and third-party off-shelf applications used by employees, physicians, contractors, and providers. They were using SailPoint to manage the joiner-mover-leaver (JML) process.

The modernization strategy included migrating processes from SailPoint to Microsoft Entra ID and Microsoft Entra ID Governance. One of the main reasons the network wanted to migrate was to consolidate their identity and security solutions on the Microsoft platform to reduce security risks and eliminate gaps in their strategy.

The phases of this project included:

  • An in-depth discovery process to understand current SailPoint IAM/IGA solution and the expected future state
  • Designing a Microsoft Entra ID solution that mirrors the current SailPoint implementation for seamless functionality and alignment
  • Building a forward-compatible solution architecture for Microsoft Entra ID, Governance, and Active Directory, that supports seamless integration with future ERM/HRM platforms, IDPs, enterprise applications, and authentication layers
  • Configuring solutions based on business requirements and discovery insights, ensuring alignment with strategic objectives
  • Collaboration with the network’s cybersecurity team to provide guidance for Microsoft Entra ID Governance and change management

The project kicked off by implementing key Microsoft Entra ID Governance workloads, including lifecycle workflows, access policies, and entitlement controls such as attestation and verification.

At the conclusion of this project, the network saw:

  • Streamlined provisioning and deprovisioning process that boosts employee productivity from day one
  • Enhanced security by consolidating on the Microsoft platform and through efficient offboarding
  • Lower total cost of ownership by eliminating SailPoint licensing fees
  • Accelerated application onboarding with simplified integration workflows
  • Scalable architecture designed to support future identity modernization across their network

Key Learnings

For many healthcare organizations using third-party identity governance solutions, Microsoft Entra ID Governance provides an opportunity to consolidate identity management processes, improve security, and reduce IT infrastructure costs. Instead of relying on fragmented point solutions, organizations can use a unified, cloud-native solution that integrates seamlessly with leading EHR systems. Consolidation strengthens your environment against cyber threats while streamlining user onboarding and offboarding processes.

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