Compliance Remediation for a Non Profit Healthcare Organization

“AWS Healthcare Compliance Architecture” – a clean diagram-style hero image showing Security Hub, Config, GuardDuty, Inspector, Macie, WAF, IAM, and OpenVPN across two regions.

Overview

We led a full compliance remediation program for a healthcare nonprofit operating a multi‑region AWS environment (us-east-1 and us-east-2) connected via VPC peering. The objective was to harden the platform and implement continuous compliance against HIPAA, PCI DSS, and SOC controls while enabling secure developer access to private resources for day-to-day work.

What we implemented (high level):

  • Centralized, multi-region security visibility and findings triage
  • Continuous configuration compliance with auto-remediation
  • Threat detection across network, DNS, CloudTrail, S3, and compute
  • Vulnerability management with golden AMI patching workflow
  • S3 data classification for PII/PHI detection and governance
  • IAM hardening, MFA enforcement, and access key lifecycle automation
  • Web application protection using AWS WAF to mitigate OWASP risks and block malicious traffic
  • Secure developer access to private resources via OpenVPN with strict controls

Apart from that

  • Implemented centralized logging and SIEM integration for CloudTrail, VPC Flow Logs, ALB/ELB logs, and S3 access logs to provide a consolidated audit trail and support forensic investigations.
  • Deployed automated alerting and incident ticketing via EventBridge -> SNS -> Teams/Slack for critical security findings.
  • Built reporting and analytics for compliance dashboards (Security Hub insights, Config aggregator views) and monthly/quarterly audit packages.
  • Performed periodic access reviews and evidence collection for audit purposes, including proof of encryption-at-rest/in-transit and key management via KMS.
  • VPN authentication and connection logging were captured via OpenVPN server logs

AWS services implemented:

  • AWS Security Hub

    1. Enabled Security Hub in both regions with a delegated administrator account
    2. Activated standards: AWS Foundational Security Best Practices, CIS AWS Foundations, PCI DSS, NIST SP 800-53 (HIPAA alignment handled via Config conformance packs; Security Hub does not have a native HIPAA standard)
    3. Integrated findings from GuardDuty, Inspector, Macie, WAF (via Amazon CloudWatch logs/managed rules), and Config
    4. Built custom insights (e.g., critical findings on internet-facing assets; unenforced encryption)
    5. Routed high-severity findings to Amazon EventBridge -> SNS email/SMS for on-call alerts
  • AWS Config

    1. Enabled Config recorders and delivery channels in both regions; set up an Aggregator for a single compliance view
    2. Deployed AWS Config Conformance Packs for HIPAA Security and PCI DSS-aligned rules, plus targeted NIST mappings
    3. Implemented auto-remediation via SSM Automation (e.g., enable S3 Block Public Access, enforce EBS encryption by default, require CloudTrail, remediate open security groups)
    4. Created playbooks for manual remediation where automation isn’t safe; enforced re-evaluation after changes
  • Amazon GuardDuty

    1. Enabled GuardDuty organization-wide in both regions
    2. Turned on S3 protection and EBS malware scan for EC2 findings enrichment
    3. Tuned trusted IP lists and threat lists; suppressed known-benign patterns
    4. Forwarded findings to Security Hub and alerted via EventBridge/SNS for medium/high severity
  • Amazon Inspector

    1. Activated Inspector v2 for EC2 instances (via SSM Agent) with continuous vulnerability assessment
    2. Mapped CVEs to patch baselines; integrated remediation into a golden AMI pipeline
    3. Established a recurring rebuild/rollout cadence for hardened images informed by Inspector findings
    4. Consolidated Inspector findings in Security Hub for unified triage
  • Amazon Macie

    1. Inventoried S3 buckets and created scheduled classification jobs for PII/PHI (managed and custom data identifiers)
    2. Scoped jobs to compliance-critical buckets (logs, exports, analytics) to optimize cost
    3. Routed Macie findings to Security Hub; set up SNS alerts for high-severity exposure risks
    4. Used results to refine bucket policies, encryption (SSE-KMS), and lifecycle/retention settings
  • AWS WAF (Web Application Firewall)

    1. Deployed AWS WAF in front of internet-facing Application Load Balancers and API Gateway endpoints
    2. Implemented managed rule sets (AWS Managed Rules, OWASP Top 10) plus custom rules to block known malicious patterns, SQLi, XSS, and bad bots
    3. Configured rate-based rules and IP reputation lists to mitigate brute-force and DDoS layer-7 attempts
    4. Integrated WAF logs with Amazon Kinesis/CloudWatch and forwarded relevant alerts to Security Hub and SIEM for incident correlation
    5. Implemented automated rule updates and change management processes to ensure minimal false positives while maintaining protection
  • IAM Hardening and Access Governance

    1. Implemented role-based access via IAM groups and least-privilege policies; applications shifted from IAM users to instance roles/assume-role patterns
    2. Enforced MFA for all IAM users and root, disabled root access keys
    3. Built CloudTrail + CloudWatch + SNS alerting for any root activity
    4. Applied strict password policy with rotation; monitored IAM access keys via Lambda, auto-disabled unused keys, and notified owners via SES
  • OpenVPN for Secure Developer Access

    1. Deployed OpenVPN on hardened EC2 in private subnets with routes to RDS, Redshift, OpenSearch, ElastiCache, and RabbitMQ
    2. Enforced full-tunnel routing (no split tunneling) and security group-level access controls per developer group
    3. VPN authentication and connection events were logged to OpenVPN server logs were forwarded to CloudWatch Logs for audit and retention
    4. Limited subnet access based on least privilege and provided developers secure development/testing access without exposing data publicly

Outcomes

  • Continuous compliance posture tracking across regions/accounts
  • Reduced manual remediation through targeted automation
  • Stronger detective and preventive controls aligned to HIPAA, PCI DSS, and SOC controls
  • Secure, auditable developer access to private data services
  • Application-layer protection reducing web-application attack surface and lowering false-positive incident volume

Skills

  • AWS Security Hub, AWS Config (Conformance Packs, Auto-Remediation)
  • Amazon GuardDuty, Amazon Inspector (v2), Amazon Macie
  • AWS WAF (Managed Rules, Custom Rules, Logging)
  • IAM Hardening, MFA, Least Privilege, Access Key Lifecycle Automation
  • CloudTrail, CloudWatch, EventBridge, SNS, Lambda, SES
  • VPC Peering, OpenVPN, Private Networking to Managed Data Services
  • Compliance: HIPAA, PCI DSS, SOC 2, NIST SP 800-53, AWS Foundation Best Practices
  • Secure SDLC/DevSecOps, Golden AMI Patching, Audit Readiness