HIPAA Compliance Checklist for 2025
Ever wonder how many permissions in your cloud environment are truly necessary? According to Gartner, more than 95% of accounts in IaaS use less than 3% of their granted entitlements, leaving a massive attack surface wide open. This silent risk often goes unnoticed until it’s exploited.
This article covers cloud infrastructure entitlement management (CIEM) - what it is, why it matters, how it works, and the benefits of adopting it. You’ll also see how leading CIEM security solutions help enforce least-privilege access, strengthen compliance, and reduce risks across multi-cloud environments.
TL;DR
- Cloud Infrastructure Entitlement Management (CIEM) secures cloud access by enforcing least privilege, reducing excessive permissions, and providing deep visibility into entitlements.
- Traditional IAM and CSPM miss the granular entitlement risks in cloud environments; CIEM closes that gap, cutting insider threats and misconfigurations.
- CIEM discovers permissions, analyzes risks, enforces policies, monitors activity, and automates audits for security and compliance at scale.
- Key benefits of CIEM include reduced attack surface, faster remediation, stronger compliance alignment, and seamless integration into DevOps workflows.
- CloudEagle.ai goes beyond CIEM by automating access reviews, eliminating shadow IT blind spots, cleaning up excessive privileges, and simplifying compliance with audit-ready reports.
What Is Cloud Infrastructure Entitlement Management (CIEM)?
Cloud infrastructure entitlement management (CIEM) is a cloud security solution that manages and controls access permissions for users, applications, and machine identities across cloud environments.
Its main purpose is to enforce the principle of least privilege, ensuring that identities only have the minimum entitlements required to do their jobs. By continuously monitoring entitlements, CIEM reduces risks tied to excessive or inappropriate access.
For example, instead of granting an engineer permanent admin rights to a production database, CIEM allows temporary access just for the task at hand, then automatically revokes it. This prevents privilege creep, insider threats, and unauthorized use of dormant permissions.
Key aspects of CIEM include:
- Visibility and control: A centralized view of all identities and their entitlements across multi-cloud environments.
- Least privilege enforcement: Detecting and removing excessive permissions before they become risks.
- Risk mitigation: Preventing breaches by eliminating unused, misconfigured, or overly broad entitlements.
- Multi-cloud support: Consistent access management across AWS, Azure, Google Cloud, and other providers.
- Integration with CSPM: Working alongside cloud security posture management (CSPM) tools for complete coverage.
By combining automation, visibility, and least-privilege policies, CIEM security helps organizations simplify access management, improve compliance readiness, and strengthen their overall cloud security posture.
Best Practices for Implementing CIEM
Implementing cloud infrastructure entitlement management (CIEM) requires more than deploying a tool; it demands a structured approach to visibility, least privilege, and continuous governance.
With the right practices in place, CIEM can dramatically reduce risk, streamline compliance, and strengthen overall cloud security posture.
Here are the best practices to make implementation effective:
1. Gain Full Visibility and Assess Your Current State
You can’t reduce risks you don’t see. Start with a complete inventory of all identities such as human, service accounts, machine identities, contractors, and third parties, across every cloud platform.
Map their entitlements (read, write, admin, execute) and classify them by sensitivity. Don’t overlook shadow IT or SaaS tools adopted without approval; they often hold sensitive data. A centralized entitlement inventory is the foundation of effective CIEM.
2. Enforce Least Privilege and Zero Trust
Apply the principle of least privilege (POLP) as your default. Grant the bare minimum entitlements needed for a task, and rely on just-in-time (JIT) access for temporary elevated roles that revoke automatically once the job is complete.
Layer in Zero Trust principles, “never trust, always verify” by validating user identities and context (device, location, time) at every access point. This ensures permissions stay aligned with real business needs, not convenience.
3. Prioritize Critical Attack Paths
Not all permission risks are equal. Some combinations, like the ability to write data plus disable logging, create toxic attack paths that attackers actively exploit. Use CIEM analytics to flag these high-value risks and remediate them first.
Continuously monitor identity behavior to catch anomalies, such as dormant accounts suddenly requesting privileged access. Prioritization helps security teams act fast where it matters most.
4. Automate Entitlement Management and Remediation
Manual entitlement reviews are slow and error-prone – most take 4x longer than automated reviews. CIEM platforms should be configured to detect excessive permissions, recommend rightsizing, and revoke unused access without human intervention.
Build automated workflows for common scenarios like contractor offboarding or privilege escalation alerts. Automation not only saves time but also closes the window of opportunity for attackers.
5. Monitor Continuously and Review Regularly
Cloud environments change daily, with new roles, identities, and services appearing constantly. CIEM should function as a continuous control layer, running real-time monitoring for entitlement drift, misconfigurations, and unusual access patterns.
Schedule recurring entitlement reviews (quarterly at minimum) to ensure policies remain aligned with business requirements. Pair continuous monitoring with alerts for suspicious activity like privilege escalation or login attempts from unusual locations.
6. Integrate CIEM with the Broader Security Stack
CIEM delivers the most value when integrated into your broader security ecosystem. Connect it with IAM platforms for unified identity governance, CSPM tools for configuration management, and SIEM/SOAR systems for incident response.
This integration ensures entitlements aren’t managed in isolation but are aligned with security policies across your entire cloud environment.
7. Embed Governance and Accountability
CIEM is not “set and forget.” Establish clear ownership of entitlement policies, assign role-based responsibilities, and document access rules. Train teams on least-privilege principles and ensure business stakeholders are involved in regular reviews.
A governance model backed by accountability keeps CIEM aligned with compliance frameworks like GDPR, HIPAA, and SOC 2 while fostering a culture of secure access.
Common CIEM Use Cases
Cloud infrastructure entitlement management (CIEM) has become an essential layer of cloud security because it solves real-world challenges that traditional identity and access management (IAM) tools often miss.
From managing complex multi-cloud environments to supporting zero trust, CIEM brings visibility, automation, and risk reduction into daily operations.
Here are some of the most common and high-impact use cases:
1. Managing Multi-Cloud Access
Enterprises running workloads across AWS, Azure, and Google Cloud face a permissions sprawl problem. CIEM provides a centralized view of entitlements across providers, enabling consistent policies and reducing silos.
Example: A global media company like Netflix uses CIEM to manage permissions across its AWS footprint, balancing development agility with tight security controls.
2. Supporting Zero Trust Architectures
CIEM directly enforces the “never trust, always verify” principle by ensuring no identity - human or machine has broader access than necessary.
By continuously analyzing permissions, CIEM makes least privilege practical in fast-changing cloud environments.
3. Mitigating Insider Threats
Excessive or unused permissions create opportunities for insider misuse, whether accidental or malicious. CIEM provides visibility into access patterns and flags anomalies.
Example: In healthcare, CIEM helps providers monitor access to patient data in the cloud, reducing risks of unauthorized exposure.
4. Automating Access Reviews
Fast-growing companies can’t afford to waste time on manual, spreadsheet-driven reviews.
CIEM automates entitlement reviews, saving time, cutting human error, and ensuring access rights are kept current as roles change.
5. Ensuring Compliance
Whether it’s GDPR, HIPAA, or SOC 2, regulators require proof of access governance.
CIEM generates audit-ready reports and enforces policies consistently across clouds, making compliance easier to maintain during audits.
6. Right-Sizing Permissions
Permissions often expand over time but rarely get reduced. CIEM continuously evaluates effective entitlements and rightsizes them to align with least-privilege policies.
Example: Instead of leaving a permanent SSH key open, CIEM can grant temporary credentials for a task and automatically revoke them once complete.
7. Detecting Anomalies and Threats
Through machine learning and analytics, CIEM identifies suspicious activity such as sudden privilege escalations, dormant accounts becoming active, or access attempts from unusual locations.
This early detection helps stop breaches before they spread.
8. Facilitating Mergers and Acquisitions
M&A events create entitlement chaos with overlapping systems and conflicting permissions. CIEM maps inherited access rights, flags redundant entitlements, and closes security gaps, ensuring smoother transitions without exposing sensitive data.
CIEM vs. Traditional IAM vs. CSPM
Cloud security requires multiple layers of defense, and tools like IAM, CIEM, and CSPM often get mentioned together. While they overlap in purpose, each addresses a different aspect of securing identities, entitlements, and configurations.
Understanding how they compare is key to building a complete security strategy.
1. IAM (Identity and Access Management)
- Focus: Managing user identities and controlling who can log in and access specific systems.
- Key Functions: Authentication, authorization, single sign-on (SSO), and role-based access control (RBAC).
- Scope: Broad, covering both human and non-human identities across the organization, but often lacks deep visibility into granular cloud entitlements.
- Example: Enforcing password policies, provisioning accounts, and assigning application access to employees.
IAM is the foundation, essential for identity verification and role assignment, but it wasn’t designed for today’s complex, dynamic cloud environments where permissions can multiply rapidly.
2. CIEM (Cloud Infrastructure Entitlement Management)
- Focus: Cloud-native management of permissions and entitlements, with an emphasis on reducing over-privileged access.
- Key Functions: Discovering excessive permissions, enforcing least privilege, detecting anomalies, and automating entitlement reviews.
- Scope: Deeper visibility into cloud entitlements at the resource level (e.g., S3 buckets, VMs, APIs).
- Example: Detecting that a developer’s account still has admin-level access to production storage buckets and automatically rightsizing permissions.
CIEM extends IAM into the cloud era by focusing on the entitlements layer, where most modern breaches occur due to privilege creep, zombie accounts, or misconfigured permissions.
3. CSPM (Cloud Security Posture Management)
- Focus: Security and compliance of cloud infrastructure configurations.
- Key Functions: Identifying misconfigurations, monitoring against compliance frameworks, and remediating infrastructure risks.
- Scope: Covers cloud infrastructure elements such as networking, storage, compute, and policies.
- Example: Flagging publicly exposed storage buckets, detecting open security group ports, or ensuring encryption is enabled on cloud databases.
CSPM secures the infrastructure layer of the cloud, ensuring resources are configured safely and in line with compliance requirements.
In Essence
- IAM establishes identity and basic access controls.
- CIEM dives deeper, securing cloud entitlements and enforcing least privilege.
- CSPM safeguards the configuration of the cloud environment itself.
Together, IAM, CIEM, and CSPM provide a comprehensive defense: IAM as the entry point, CIEM as the entitlement gatekeeper, and CSPM as the infrastructure watchdog.
Using CloudEagle.ai to Streamline Identity and Access Management
Even with cloud infrastructure entitlements management software in place, many organizations still face persistent identity and access challenges: too much manual work, poor visibility into shadow IT, and lingering access that creates risk.
CloudEagle.ai addresses these gaps by turning slow, error-prone processes into automated, intelligence-driven workflows.
1. Shadow IT Discovery: CloudEagle.ai uncovers all SaaS and AI applications in use, whether approved by IT or not. This visibility helps organizations close blind spots, govern at scale, and ensure every app is accounted for without slowing down teams.

2. Automated Access Reviews: Instead of relying on spreadsheets and manual checks, CloudEagle.ai automates access certifications. This reduces errors, speeds up review cycles, and ensures entitlements stay aligned with actual business needs.

3. Excess Access Cleanup: With advanced entitlement insights, CloudEagle.ai detects when users or applications hold unnecessary permissions. It rightsizes access automatically, reducing the risk of privilege creep while keeping workflows efficient.
4. Contractor and Offboarding Control: Contractors and ex-employees often retain access long after they leave. CloudEagle.ai continuously monitors and revokes dormant accounts, eliminating hidden risks from lingering entitlements.

5. Audit-Ready Compliance: CloudEagle.ai generates detailed, real-time reports of user access and entitlements. These audit-ready records simplify compliance with frameworks like GDPR, HIPAA, and SOC 2, while reducing review overhead.
Ready to Rein In Cloud Chaos?
With CIEM, you’ve seen how least privilege, automation, and smarter entitlement management reduce risk while simplifying compliance, a win for both security and operations.
CloudEagle.ai takes those best practices further by unifying visibility, automating reviews, and eliminating excess access. If you’re serious about streamlining identity governance and securing cloud resources, it’s the natural next step.
FAQs
1. What is CIEM in cybersecurity?
CIEM (Cloud Infrastructure Entitlement Management) is a security approach focused on managing cloud identities, permissions, and entitlements to enforce least privilege, reduce risks, and strengthen overall cloud security posture.
2. What is an example of CIEM?
An example of CIEM is finding unused admin rights in AWS and automatically revoking them. This prevents privilege creep, reduces insider threats, and enforces least-privilege access at scale.
3. What is the difference between CIEM and SIEM?
SIEM (Security Information and Event Management) analyzes logs for threats. CIEM focuses on permissions and entitlements, helping prevent attacks that stem from excessive, unused, or misconfigured cloud access rights.
4. What is the difference between CIEM and CIAM?
CIAM (Customer Identity and Access Management) handles external customer identities. CIEM secures internal and machine identities in cloud environments, enforcing least privilege and minimizing risks from excessive entitlements.
5. What are the four 4 cloud infrastructure services?
The four core services are IaaS (Infrastructure as a Service), PaaS (Platform as a Service), SaaS (Software as a Service), and FaaS (Functions as a Service).
6. Is IAM a category of CIEM?
No. IAM (Identity and Access Management) covers authentication and access broadly. CIEM extends IAM by giving deeper visibility into entitlements and addressing permission risks across multi-cloud environments.
If IAM alone isn’t enough for your team, CloudEagle.ai can help: book a demo today.