Health Podcast Library
Episode 226

Securing the Machine Workforce: Identity, Zero Trust, and the Recovery Plan for When It Still Goes Wrong with Ben Smith of SailPoint

Sep 29, 2026
45:26

Episode Description

Every AI agent a health system deploys is a new identity with standing access to clinical and financial systems, and most security programs were not built for a non-human workforce. As agents multiply, identity becomes the control plane, and leaders have to govern machine access with the same rigor they apply to people, before an auditor or attacker does it for them. But no identity program stops everything, and the systems that recover fastest treat resiliency as the other half of the same discipline: immutable backups that survive the attack, tested recovery playbooks, segmentation that contains the blast, and third-party risk that does not become an outage. This session covers both, how machine access gets provisioned, revoked, and governed, and how care comes back online in days rather than weeks when prevention fails anyway.

  • Put a model to work for governing non-human identities with the same discipline you apply to clinical staff
  • Implement zero trust built around real clinical workflow instead of bolted on after deployment
  • See where standing agent access creates exposure most systems have not mapped, and adopt the backup and recovery architecture that holds if it gets exploited anyway
  • Know the security, audit, and recovery terms to require from any vendor shipping agents or infrastructure into your environment
  • Understand what a tested recovery playbook includes that an untested one misses, and how segmentation contains the blast so one breach does not take down the enterprise


Ben Smith, CISSP, Strategic Agentic Technology Specialist, Sailpoint

Megan Antonelli, Chief Executive Officer, HealthIMPACT Live

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