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It can all be scripted, check out "Security Administrator" from New Millennium as a pre-built product. There is also a module on modularfilemaker.org.
You can also consider using External Authentication so that you can do all the account management outside of FM and not worry about giving someone access to the solution for it. If you are at Devcon, my session starts in 40 minutes and talks about this
The scripting mentioned can be set to run with [Full Access] permission at the script level, and manage security can be used to set which permission groups are allowed to see/execute a specific script.