A healthcare company stores patient records in an on-premises MySQL database.

The correct solution is C: AWS Secrets Manager.

Why? AWS Secrets Manager is a fully managed service that helps you protect access to your applications, services, and IT resources without the upfront cost and complexity of managing your own hardware security module (HSM) infrastructure.

It allows for automatic rotation of secrets without requiring changes to the application code, meeting the requirement of minimal operational overhead.

Applications can securely retrieve credentials using Secrets Manager APIs, and the service integrates with AWS Identity and Access Management (IAM) to control access to secrets.

“You can use Secrets Manager to store credentials and to configure automatic rotation.”