Data Governance & Security for Healthcare
HIPAA requires that only authorized staff see patient data and that access is logged. We classify PHI, apply row-level security and masking, and keep the audit trail.
A compliance framework tells you what's missing. It doesn't write the row-level security policy, configure the encryption, or build the deletion pipeline. We engineer the access control, encryption, audit logging, and retention controls that a SOC 2 or HIPAA audit actually tests.
We work hands-on with: Vault, Okta, PostgreSQL, Snowflake, Terraform, Auth0, Kubernetes.
Data governance and security engineering builds the row-level security, encryption, and audit logging that a compliance framework requires but doesn't build for you.
Data security engineering services and data governance consulting build the controls a compliance program requires: sensitive data discovery, data classification, access control at the database (row-level security, column masking), data encryption services and key management, and audit logging and retention pipelines. A compliance framework tells you a control is required. This is the engineering that makes it real, not just documented.
Most governance failures aren't technical. They're a tool bought and never operationalized. The catalog or policy platform works fine. What's missing is who owns wiring it into the actual database.
Discovery: Sensitive data gets classified once in a spreadsheet and never re-scanned as schemas change, so PII ends up in columns nobody flagged.
Access control: Permissions get granted ad hoc and rarely revoked, so "least privilege" stays a policy sentence, not a database grant.
Encryption & secrets: Static database passwords sit in an env file long after the KMS and Vault setup was budgeted for.
Audit & retention: Deletion requests clear the primary table but never reach the replica, the backup, or the cache.
Not a sophisticated attack. Nobody engineered the access control before the database went live.
The assessment we hand you names the exposure up front : where sensitive data actually lives, who can reach it today, what's encrypted, what's logged, and which specific control closes each gap against the framework you're working toward.
A quick lookup across the four parts of a governance and security engagement.
| Situation | Likely Solution |
|---|---|
| A SOC 2, HIPAA, or PCI-DSS audit is on the calendar and controls are informal | Audit Logging, Retention & Deletion Engineering — audit trails that answer who accessed what and when |
| A customer security questionnaire cost you a deal, or nearly did | Encryption & Secrets Overhaul — field-level encryption and KMS-backed key management |
| You don't actually know who can access sensitive data in your own database | Access Control Engineering — RBAC/ABAC redesigned around least privilege, enforced at the database |
| A new privacy regulation now covers data you didn't previously have to protect | Sensitive Data Discovery & Classification — scanning production databases for where PII, PHI, or PCI actually lives |
| You bought a governance or catalog tool and never finished configuring it | Sensitive Data Discovery & Classification — classification wired into access policy, not a one-time spreadsheet |
| Access requests get handled ad hoc, with no consistent policy behind them | Access Control Engineering — least-privilege policy enforced at the database, not documented in a wiki |
Securing production data comes with its own set of tradeoffs. Here's how we think through the ones that come up most.
Collibra, Immuta, and BigID carry a significant annual license cost, and the most common failure mode is paying for the platform and never configuring the workflows that make it useful. Postgres row-level security, masking views, and Vault-managed credentials solve the same problem for most teams at a fraction of the cost. We size the decision to your actual data footprint, not the vendor's pitch deck.
SOC 2, HIPAA, and PCI-DSS overlap on access control, encryption, and audit logging by a wide margin: the differences are in scope and retention period, not the underlying engineering. We sequence around whichever audit date or regulatory deadline is actually on your calendar, and the overlap means the second framework costs far less than the first.
Blanket application-layer encryption on every column sounds safer but adds query complexity, breaks indexing on encrypted fields, and slows down every read. Targeting the specific columns that hold regulated data (SSNs, PHI fields, payment card numbers) gets the same compliance outcome without rewriting your entire data access layer.
Some clients want the exposure assessment and control design, then implement it with their own engineers. Others want us to build the row-level security policies and encryption directly, especially against an audit deadline. Both are normal outcomes of the same engagement. The design doesn't change based on who writes the migration.
We implement row-level security, column masking, encryption, and audit logging directly in your database and data stack, not a policy binder that sits next to a catalog tool nobody updates.
SOC 2, HIPAA, PCI-DSS, or a customer's security questionnaire: we map each requirement to the specific system it governs, so gathering evidence is a query, not a scramble.
Most companies don't need a costly enterprise governance platform. We'll tell you when a database-native control (Postgres RLS, a masking view, Vault-managed credentials) solves it instead.
Tell us which framework you're working toward. These are the specific engineering requirements each one actually tests, not the compliance-101 version.
Scan production databases and warehouses to find where PII, PHI, or PCI data actually lives, not where you assume it lives, tag it, and wire that classification into access policy, not a one-time spreadsheet.
Row-level security in Postgres or Snowflake row access policies, column-level masking and tokenization, and RBAC/ABAC redesigned around least privilege, enforced at the database, not documented in a wiki.
Field-level encryption for the columns that need it, KMS-backed key management, and dynamic, short-lived database credentials via Vault or your cloud provider's secrets manager instead of static passwords in an env file.
Database activity monitoring and audit trails that actually answer who accessed what and when, plus a real retention and right-to-erasure pipeline that reaches primary databases, replicas, backups, and caches.
A Series A/B SaaS company closes its first large customer, and the questionnaire asks for row-level access control and audit logging that don't exist yet.
Controls passed Type I a year ago; grants have accumulated since, and nobody's re-reviewed who can touch what.
A platform is adding PHI for the first time and needs encryption, access control, and a 6-year audit log retention path before data starts flowing.
Card data is about to enter the database, and the cardholder data environment needs tokenization and access logging before launch.
Collibra, Immuta, or BigID was purchased for a compliance push, and the workflows were never configured, so the license renews without solving anything.
A right-to-erasure request cleared the primary table but left the row in a replica, a backup, or a cache, surfaced by an audit or a customer complaint.
An audit of where sensitive data actually lives, who can access it, what's encrypted, what's logged, and which specific control gaps block your target framework.
We map each compliance requirement to a specific technical control (an RLS policy, a masking view, a KMS key, an audit table), scoped to your actual stack, not a generic framework binder.
We build and ship the highest-risk control first, usually access control or encryption, so you have something an auditor or customer security team can verify, not a roadmap.
We package the audit logs, access policies, and encryption configuration as auditor-ready evidence, and train your team to maintain it without us in the room.
On retainer, we run continuous drift detection (a new unencrypted column, a newly over-broad grant) so the control set doesn't quietly rot between audits.
The same four areas, measured before and after the engagement.
| Area | Before | After |
|---|---|---|
| Discovery | Sensitive data classified once in a spreadsheet, never re-scanned as schemas change | Classification wired into access policy, re-checked as schemas evolve |
| Access control | Permissions granted ad hoc, rarely revoked | Least privilege enforced as a database grant (RLS, masking), not a policy sentence |
| Encryption & secrets | Static database passwords in an env file | KMS-backed field encryption and short-lived credentials via Vault or a cloud secrets manager |
| Audit & retention | Deletion clears the primary table, not the replica, backup, or cache | Retention and right-to-erasure pipeline reaches every copy of the data |
In one engagement, a healthcare platform closed audit-log gaps and added continuous replication ahead of a HIPAA-covered telehealth launch.
| Option | Fit | Cost shape |
|---|---|---|
| DharmOps | Engineers the control directly in your stack | Scoped per control area, sized to real exposure |
| Enterprise governance platform (Collibra, Immuta, BigID) | Strong once workflows are configured and maintained | Significant annual license, plus the implementation work most teams underbudget |
| Fractional CISO | Sets the security program and risk posture | Advisory, doesn't write the RLS policy or encryption config itself |
| Full-time database security hire | Good fit once control work is continuous, not project-shaped | Full-time salary and benefits for often project-shaped work |
Each regulation tests a different set of controls. We build the controls the audit checks, mapped to the framework that applies to you.
HIPAA requires that only authorized staff see patient data and that access is logged. We classify PHI, apply row-level security and masking, and keep the audit trail.
PCI DSS 4.0 expects automated controls that alert on unexpected data flows. We limit cardholder data access to need-to-know and add monitoring for movement outside approved paths.
Examiners ask who accessed what and when. We build access certification, encryption with key management, and retention rules that produce that evidence from logs.
SOC 2 reviews turn on tenant isolation and access control. We enforce them in the database layer and generate the access and change evidence the auditor requests.
GDPR and CCPA deletion requests span the warehouse, backups, and downstream copies. We build the discovery and deletion pipeline so a request is honored everywhere.
AI and analytics tools now reach data that was never classified. We extend access policies and audit logging to those tools before they connect to sensitive tables.
Tell us which framework you're working toward (SOC 2, HIPAA, PCI-DSS, GDPR) or what a customer's security questionnaire just asked you, and we'll tell you honestly which controls are missing and which ones you already have covered.
Most teams that come to us already have the compliance framework mapped out. What's missing is the row-level security policy, the encryption, and the deletion pipeline the framework assumes exists. We build those.