Amiller0814

MedSecure Cloud Platform (MSCP)

GRC Portfolio Project | Azure Healthcare Security Architecture

Author: Ashley Miller
Frameworks: NIST SP 800-53 Rev 5 | HIPAA / HITECH | NIST RMF
Platform: Microsoft Azure
Status: Active — Artifacts Completed


Project Overview

The MedSecure Cloud Platform (MSCP) is a fictional Azure-hosted healthcare platform designed to demonstrate applied GRC, security architecture, and ISSO competencies. The platform simulates a real-world healthcare environment providing secure storage, processing, and transmission of electronic Protected Health Information (ePHI) for healthcare providers — supporting patient data management, appointment scheduling, and secure provider-patient communication.

This project was built to produce professional-grade GRC artifacts that reflect the documentation standards expected of an Information System Security Officer (ISSO) operating under the NIST Risk Management Framework.


Platform Architecture

The MSCP Azure architecture includes the following components:

Layer Components
Identity & Access Microsoft Entra ID, MFA, RBAC, Privileged Identity Management (PIM)
Core Services Azure App Service, Azure API Management
Data & Storage Azure SQL Database, Azure Blob Storage, Azure Key Vault
Security & Monitoring Microsoft Sentinel (SIEM), Microsoft Defender for Cloud
Compliance Azure Policy, Azure Monitor, Diagnostic Logging
Third-Party Integration Vendor API Gateway, BAA-covered integrations

Security Control Coverage

Controls documented span 6 security domains aligned to NIST SP 800-53 Rev 5 and HIPAA/HITECH:

Domain Controls Covered
Identity & Access Management IA-2, AC-2, AC-3, AC-6, IA-5
Audit & Logging AU-2, AU-6, AU-12
System Monitoring SI-4
Cryptographic Protection SC-12, SC-13
Configuration Management CM-2, RA-5, CA-7
Third-Party & Remote Access SA-9, AC-17

Project Deliverables

✅ 1. Azure Architecture Diagram

Visual representation of the MSCP platform architecture across all security layers including identity, data, monitoring, and third-party integration boundaries.

✅ 2. Security Control Matrix

Excel workbook mapping 16 NIST SP 800-53 Rev 5 controls to HIPAA citations, implementation details, architecture layers, evidence artifacts, and effectiveness ratings across 6 security domains.

File: MSCP_Control_Matrix_v2.xlsx

✅ 3. Gap Analysis Summary

Structured analysis identifying partially effective controls, associated risks if left unaddressed, prioritized recommendations, and implementation guidance for remediation.

Controls with identified gaps: AC-6, AC-2, AU-6, SI-4, CM-2, RA-5, CA-7

File: MSCP_Gap_Analysis_Risk_Register.xlsx (Tab 1)

✅ 4. Risk Register

Formal risk register derived from gap analysis findings with likelihood, impact, and risk level ratings, remediation recommendations, and traceability back to originating NIST controls.

7 risks documented — 5 High, 2 Medium

File: MSCP_Gap_Analysis_Risk_Register.xlsx (Tab 2)

✅ 5. Plan of Action & Milestones (POA&M)

RMF Step 5 compliant POA&M tracking 10 findings across 3 tabs — Cover, Tracker, and Summary Dashboard. Findings mapped to NIST SP 800-53 controls, HIPAA citations, risk ratings, milestones, responsible POC, and remediation status.

Risk Level Count
🚨 Critical 1
🔴 High 5
🟡 Moderate 4

File: MSCP_POA&M_v2.xlsx


Key Findings

MSCP-010 — CRITICAL: No formal incident response plan exists for the platform. Highest priority remediation item requiring development of a full IR plan aligned to NIST SP 800-61.

MSCP-001 — HIGH: MFA not enforced for all privileged and remote access accounts, violating HIPAA §164.312(d) Person Authentication requirements.

MSCP-009 — HIGH: Just-in-Time (JIT) access not enabled for administrative accounts. Remote administrative access paths undocumented and not time-limited.


Skills Demonstrated


Tools & Technologies

Microsoft Azure Microsoft Entra ID Microsoft Sentinel Microsoft Defender for Cloud Azure Policy Azure Key Vault NIST SP 800-53 HIPAA/HITECH NIST RMF Excel (openpyxl)

Part of the Ashley Miller GRC & Cybersecurity Portfolio
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