VANESSA MACHUCA
Helotes,TX
Summary
A seasoned professional who is passionate about what she can do, proud of what she can deliver and prepared to ensure compliance and fulfillment of business objectives. Expertise and comfort in working in a fast-paced, complex, highly regulated, demanding and deadline driven environment. A proven ability to innovate, develop and implement effective risk management strategies and programs while motivating and building strong relationships and teams across the organization. Experienced Risk Director with over 10 years of in the financial services industry.
Overview
21
21
years of professional experience
Work History
Director Business Risks and Controls
USAA
12.2020 - Current
- Partnered with senior managers to build and deploy an effective risk management strategy to assess, monitor and improve our risk profile
- Led execution and oversight of Risk and Control Self-Assessment (RCSA) and Material Risk Identification (MRI) program across all business units
- Managed the Quality Assurance (QA) program across all business units to support timely identification, evaluation and management of potential risk events
- Built metrics and reporting capabilities to support the continual monitoring, analysis and reporting of HR’s risk profile
- Implemented a Quality Control (QC) and QA program to support a quantitative and evidence-based control environment for RCSAs, MRI and risk assessments
- Innovated and architected a business process strategy resulting in a modernized and endearing business process inventory
- Standardized the Process, Risk and Control Inventory (PRCI) yielding a reduction of 30% of duplicative risk and controls
- Developed a centralized technology solution to review, prioritize, plan and staff incoming work requests across Business Risk and Controls Teams
- Ensured achievement of target level Risk Management Modifiers (RMMs) aligned to organizational goals and risk management policies and procedures
Lead Enterprise Operational Risk Management
USAA
05.2015 - 12.2020
- Architected and implemented operational risk management programs across the organization to ensure risks associated with business activities are effectively identified, assessed, mitigated and monitored e.g., RCSA, Operational Losses, Key Risk Indicators, MRI, etc.
- Authored the organization’s RCSA and Operational Risk Management policy, standard and procedures driving consistent execution and measurement by business units
- Supported adherence and completion of regulatory commitments for operational risk programs resulting in mature risk policies across the organization
- Partnered with senior management to appropriately sequence, coordinate, manage and align Risk and Compliance policies and activities
- Led a team of individuals responsible for the enterprise technology solution in support of RCSA and Material Risk Identification resulting in quantitative, value-added assessments
- Developed reporting dashboards to monitor Key Performance Indicators (KPIs) and Key Risk Indicators (KRIs) to understand potential impacts to strategic objectives
- Simplified the organization’s risk taxonomy to ensure alignment with industry and regulatory expectations resulting in reduction of redundant risk types and assessment categories
Manager Enterprise Fulfillment Program
USAA
03.2013 - 05.2015
- Managed, trained, and coached direct reports and third-party resources to ensure effective levels of performance, quality, and productivity across Property and Casualty (P&C) business units
- Facilitated RCSAs across business units to validate risk levels were understood and mitigated in alignment with the organization’s risk appetite
- Built and conducted risk training across P&C in support of deploying effective risk management strategies and routines
- Established and monitored business KPIs, KRIs, and quality control measures aligned to organizational objectives
- Coordinated responses to insurance regulatory inquiries and deliverables
- Partnered with key stakeholders to confirm Risk and Compliance requirements were right-sized for our risk profile
Lead Centralized Control Testing
USAA
12.2011 - 03.2013
- Developed control test policies and procedures to drive consistent process execution
- Developed control test coverage plans for Bank, P&C, Life and Investments to confirm key risks to the organization were appropriately mitigated
- Conducted First Line of Defense control testing resulting in timely detection of issues
- Developed reporting to provide analysis on emerging risks and trends based on control test results
- Partnered with key stakeholders to communicate test results and implement action plans to effectively mitigate risks
Member Relationship Specialist
USAA
03.2006 - 12.2011
- Facilitated property training for over 15,000 newly licensed insurance agents
- Executed 3,000 monthly call quality audits to ensure adherence to USAA policies and insurance regulations
- Implemented change and program management for department initiatives and objectives
- Developed reporting and trending analysis on KPIs and KRIs for senior leadership
- Developed toolkits to assist in operationalizing insurance policies and standards
Medicare Program Manager
Hospital Corporation of America, HCA
12.2001 - 03.2006
- Managed, trained, and built high-performing teams responsible for reviewing hospital billing contracts to ensure accurate Medicare reimbursement
- Built billing policies and standards aligned to insurance regulations for hospitals across the United States
- Developed and implemented quality control and quality assurance programs for hospital billing practices
- Identified opportunities to optimize hospital billing practices and comply with federal and state laws and regulations
- Responded to regulatory inquiries and coordinated regulatory reviews
- Identified and analyzed performance trends for potential impacts to business objectives, River City Federal Credit Union: Special Investigation Unit
- Complex Community Federal Credit Union: Special Investigations Unit
Education
Bachelor of Science - Business Administration
University of Incarnate Word
Master of Business Administration (MBA) - Data and Analytics
University of Incarnate Word
Associate in Risk Management (ARM) - Risk Management
The Institutes
Certified Fraud Examiner (CFE) -
Association of Certified Fraud Examiners
Six Sigma Green Belt
Skills
- Developing and implementing modernized business strategies
- Executive level writing, presentation and communication skills
- Strong ability to influence and build genuine relationships
- Adaptability to changing priorities and deliverables
- Robust qualitative and analytical skills
- 10 years subject matter expertise implementing and maturing various risk programs
- 11 years leading high-performing teams
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse
Timeline
Director Business Risks and Controls
USAA
12.2020 - Current
Lead Enterprise Operational Risk Management
USAA
05.2015 - 12.2020
Manager Enterprise Fulfillment Program
USAA
03.2013 - 05.2015
Lead Centralized Control Testing
USAA
12.2011 - 03.2013
Member Relationship Specialist
USAA
03.2006 - 12.2011
Medicare Program Manager
Hospital Corporation of America, HCA
12.2001 - 03.2006
Bachelor of Science - Business Administration
University of Incarnate Word
Master of Business Administration (MBA) - Data and Analytics
University of Incarnate Word
Associate in Risk Management (ARM) - Risk Management
The Institutes
Certified Fraud Examiner (CFE) -
Association of Certified Fraud Examiners
Six Sigma Green Belt
Similar Profiles
Jeremy FalknerJeremy Falkner
Associate Auto Adjuster at USAAAssociate Auto Adjuster at USAA
Marcy CastilloMarcy Castillo
Claims Adjuster - Fire, Theft & Vandalism at USAAClaims Adjuster - Fire, Theft & Vandalism at USAA
David JusinoDavid Jusino
Property Claims Adjuster at USAAProperty Claims Adjuster at USAA
Jordan HoffmannJordan Hoffmann
Insurance Professional at USAAInsurance Professional at USAA
Whitney GreenWhitney Green
NA at Hill Country Dental CenterNA at Hill Country Dental Center