This case study describes how one of the nation’s four largest home health services providers modernized identity operations to replace manual account provisioning across Active Directory and other applications, implement solid joiner-mover-leaver scenarios, and standardize IAM policies. Needing an IGA solution quickly without increasing headcount, the client engaged Simeio to deliver SSO, lifecycle management, and PAM using Okta, CyberArk, and Aquera. The resulting platform expanded integration coverage while reducing costs, cut incident tickets by 60% through SSO, and automated 95% of lifecycle provisioning, improving security and user experience. The engagement also delivered 25%–50% cost reduction across identity applications and helped the client avoid building offshore operations by

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