PEPR 26 - The Disposable Identity: Eliminating Non-Human Identity Risk in Federal Healthcare... @UsenixOrg
PEPR 26 - The Disposable Identity: Eliminating Non-Human Identity Risk in Federal Healthcare...  @UsenixOrg
Uploaded June 2026 | Updated September 2026, 3 weeks ago
The Disposable Identity: Eliminating Non-Human Identity Risk in Federal Healthcare Pipelines

Tristan McKinnon, Deterministic Systems Lab and Axle Informatics

Non-Human Identity is the fastest-growing attack surface in cloud data environments — and the least discussed. While zero-trust implementations focus on user authentication and network segmentation, the persistent service accounts powering automated pipelines remain long-lived, over-privileged, and largely unexamined. In federal healthcare environments processing genomic and clinical data under FedRAMP High constraints, a single compromised ingestion role means bucket-wide access for up to 90 days. That is not least privilege. That is a liability.
This talk is a production case study, not a proposal. We deployed an Identity-Per-Transaction (IPT) pipeline for a federal life sciences agency, generating a unique cryptographically scoped ephemeral credential for every file ingestion event and destroying it milliseconds later. We present the operational reality of running this in production: STS AssumeRole latency averaging 180ms, peak issuance rates during batch windows, the race condition we hit under high concurrency, and what happens when you need to debug a system whose credentials no longer exist.
We also address two hard problems directly. First, the secret-zero problem: the broker that issues ephemeral credentials is itself a root of trust. If it's compromised, the blast radius is bounded to 900 seconds rather than 90 days, but it is not zero. Second, the genomic privacy boundary: tokenizing 18 HIPAA identifiers does not anonymize a VCF file. This architecture eliminates credential-mediated access risk. It is not a genomic privacy framework. Those are different problems.
Attendees leave with a concrete reference pattern for eliminating Non-Human Identity risk in high-compliance storage systems, an honest accounting of where the architecture holds and where it defers, and open questions about trust bootstrapping that the field has not yet resolved.

View the full PEPR '26 program at usenix.org/conference/pepr26/program
PEPR 26 - The Disposable Identity: Eliminating Non-Human Identity Risk in Federal Healthcare...NSDI 26 - OneSidedMW: Managing Disaggregated Memory Efficiently, Flexibly, and Securely with RNICNSDI 26 - HEDGE: Traffic Engineering with Probabilistic Link CapacitiesNSDI 26 - Feedback-guided Adaptive Testing of Distributed Systems DesignsNSDI 26 - Fractal: Fault-Tolerant Shell-Script DistributionNSDI 26 - PlanB: Efficient Software IPv6 Lookup with Linearized B+-TreeNSDI 26 - ZOC: Elastic and Cost-Efficient Virtual SmartNIC Architecture for Cloud Physical MachinesNSDI 26 - Enabling SLO-Aware 5G Multi-Access Edge Computing with SMECSREcon26 Americas - Talking to/with MachinesNSDI 26 - R-TCP: A Framework to Optimize TCP Performance Over Rate-Limiting NetworksNSDI 26 - ZipLLM: Efficient LLM Storage via Model-Aware Synergistic Data Deduplication andNSDI 26 - eXpressSFU: Toward Super-Scalable Video Conferencing with SmartNICs
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PEPR '26 - The Disposable Identity: Eliminating Non-Human Identity Risk in Federal Healthcare...

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