Modernizing Healthcare Governance: Scalable IRM for Complex Regulatory Environments

Industry Descriptor: A Major Regional Healthcare Payer and Insurance Provider

The Challenge

As a major healthcare payer managing sensitive data for millions of members, this organization faced a highly complex regulatory environment, including HIPAA, SOC 2, and federal mandates. Their existing governance processes were manual and decentralized, making it difficult to maintain a real-time view of compliance posture across the enterprise. The organization needed a “system of action” to unify policy management, control testing, and evidence collection into a single, governed platform.

The Solution

The team delivered a comprehensive implementation of ServiceNow IRM (Policy & Compliance), establishing a service-aligned governance model built on a “Configure, Don’t Compromise” philosophy.

Key elements of the implementation included:

  • Unified Control Library: Established a centralized library mapped to multiple regulatory frameworks (HIPAA, NIST, and SOC 2) to enable a “test once, satisfy many” model.
  • Automated Attestations: Implemented automated workflows for control owners to validate compliance and submit evidence directly within the platform.
  • Common Service Data Model (CSDM) Alignment: Integrated IRM objects with the CMDB to ensure compliance was informed by the specific business services and technical assets they protected.
  • Executive Dashboards: Deployed real-time dashboards providing leadership with a high-level “Risk Portrait” and audit-readiness tracking.

The Impact

  • Eliminated Spreadsheet Silos: Consolidated fragmented compliance data into a single source of truth, reducing administrative overhead by an estimated 40%.
  • Continuous Audit Readiness: Automated evidence collection and recurring attestations ensured the organization was prepared for rigorous healthcare audits year-round.
  • Persona-Based Adoption: Improved stakeholder engagement through tailored workspaces for compliance managers and control owners, leading to higher data accuracy.

By consolidating fragmented compliance data into a single source of truth, this organization eliminated spreadsheet silos and reduced administrative overhead by 40% while establishing a permanent state of audit-readiness across HIPAA, NIST, and SOC 2 frameworks.

Major Regional Healthcare Payer and Insurance Provider