HITRUST certification demands strict control. Service accounts—those non-human identities that run jobs, pipelines, integrations, and backend services—are often overlooked. They rarely change passwords. They often have broad permissions. They can’t respond to MFA prompts. Yet every single one must comply with HITRUST security criteria.
The certification process evaluates access control, activity logging, credential rotation, and privileged account management. For service accounts, this means:
- Unique accounts for each service, never shared between tools.
- Strong, auto-rotating credentials with secure storage.
- Granular permissions that follow least-privilege principles.
- Continuous logging of all activity tied to each account.
- Regular reviews to disable unused or orphaned accounts.
Failure in these areas creates audit findings. Excess permissions, missing logs, static secrets, or shared credentials will break compliance. HITRUST assessors inspect configuration files, IAM policies, and automation scripts. They expect evidence of policy enforcement and proof that every service account meets your stated controls.