As Director of Identity Services at NewYork-Presbyterian, I lead enterprise identity and access management strategy for one of the nation’s most complex healthcare and academic ecosystems. My organization oversees authentication, governance, and directory services that enable secure, resilient access across clinical, research, and administrative domains. My focus is on advancing passwordless authentication, strengthening birthright provisioning, accelerating terminations, and ensuring timely removal of access to improve both security and operational efficiency. These initiatives are reinforced by a privileged access management strategy and a commitment to resilience that protects critical systems while supporting uninterrupted care delivery. Collaboration with our academic partners at Weill Cornell Medicine and Columbia University Irving Medical Center remains central to this mission, aligning governance and access practices across shared institutions. I aim to demonstrate how modern identity programs built on automation, usability, and continuous assurance can transform security into a foundation of innovation, trust, and clinical excellence.