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Sanford Health

Nonprofit health system operating hospitals

Lead Identity Systems Engineer

Security Engineering & ArchitecturePosted on Nov 10
Full-time$46 - $76In-person

About the Job

Requirements

  • A bachelor's degree is required; in lieu of that education, leadership may consider an associate's degree plus three years of applicable experience in computer science or a related field.
  • At least five years of applicable work experience supporting Active Directory, Domain Services, hybrid identities, and Entra ID.
  • At least five years of applicable work experience implementing single sign-on and multi-factor authentication workflows using SAML 2.0 and/or OIDC.
  • At least five years of applicable work experience maintaining public key infrastructure.
  • At least five years of applicable work experience supporting identity lifecycle and access governance workflows and technical integrations.
  • At least five years of applicable work experience implementing information security standards and procedures, including HIPAA and PCI.

Responsibilities

  • Design, implement, and secure enterprise identity and access management infrastructure for authentication, authorization, and access management across hybrid environments.
  • Lead deployment, configuration, and lifecycle management of Active Directory, Entra ID, public key infrastructure, and hybrid identity services.
  • Oversee governance processes, including access reviews, audits, and compliance reporting.
  • Define operational standards, playbooks, and escalation paths; serve as the technical lead for identity projects, integrations, and cross-platform authentication initiatives.
  • Enforce least privilege, secure sensitive systems, manage certificate lifecycles, and automate provisioning and access governance workflows.
  • Partner with Information Security leadership to align identity services with organizational policy.
  • Mentor and develop engineering team members, and monitor operational key performance indicators to drive efficiency, resilience, and continuous improvement.
  • Work closely with cross-functional IT, application, and security teams to align identity services with business objectives, regulatory requirements, and industry best practices.
  • Work independently on new assignments and projects, determining methods and procedures while applying judgment and interpreting policies and practices.
  • Check the work of other team members and provide performance feedback.
  • Assist the team manager in maintaining team adherence to policies and procedures, prioritizing and assigning work based on team members' experience, workload, and growth opportunities, and ensuring project deadlines are met.

Desired Qualifications

  • Security certifications such as CISSP, CISA, CISM, Security+, or CEH are highly desired.

About the Company

Sanford Health

Nonprofit health system operating hospitals

Sanford Health is a large nonprofit health system that delivers hospital care, elder and post-acute services, and related health care through a network of hospitals, clinics, and senior care facilities across the Midwest. It operates by integrating multiple care settings into one system, supported by research and global health initiatives. Its model combines acute hospital care, long-term care, and post-acute services under a single organization, with a strong emphasis on philanthropy and mergers to expand reach and capabilities. The company differentiates itself through its breadth of services across the care continuum, extensive rural and regional presence, and a history of strategic mergers that create a full-spectrum care model rather than focusing on a single niche. Sanford Health’s goal is to provide comprehensive, accessible health care to communities, advance pediatric care and medical research, and extend health services through global clinics and partnerships.

Company size
10,001+
Company stage
Grant
Total funding
$4.5M
Headquarters
Fargo, ND
Founded
1894

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