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From Home Optum Health Coding Risk Adjustment Jobs in Toronto, ON

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From Home Optum Health Coding Risk Adjustment information

What is the difference between From Home Optum Health Coding Risk Adjustment vs From Home Optum Health Medical Coding?

AspectFrom Home Optum Health Coding Risk AdjustmentFrom Home Optum Health Medical Coding
CertificationsCCS, CPC, or RHIT/RHIACCS, CPC, or RHIT/RHIA
Work EnvironmentRemote, home-basedRemote, home-based
Industry UsageHealth insurance, risk adjustment programsHealthcare providers, hospital coding
Job FocusRisk adjustment coding for insurance accuracyClinical coding for medical records

While both roles involve medical coding from home, From Home Optum Health Coding Risk Adjustment focuses on coding for insurance risk adjustment programs, requiring specific risk adjustment knowledge. In contrast, From Home Optum Health Medical Coding emphasizes clinical coding for medical records, often in hospital or provider settings. Both roles require similar certifications and offer remote work, but their primary focus and industry applications differ.

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For From Home Optum Health Coding Risk Adjustment jobs in Toronto, ON, the most frequently searched job titles are:

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Infographic showing various From Home Optum Health Coding Risk Adjustment job openings in Toronto, ON as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

AVP, (FSA) Model Risk Management

Pacific Asset Management, LLC

Toronto, ON • On-site

$160 - $187/hr

Other

Vision, Life, PTO

Posted 9 days ago


Job description

Job TitleAVP, (FSA) Model Risk ManagementJob Description$Pacific Life is seeking an AVP, Model Risk Management to join our team. This role is on-site 4 days per week and work from home 1 day per week in Toronto, ON.This role is a strong fit for a senior life actuary who enjoys technical depth, independent challenge, and practical business impact. You will lead second-line model risk oversight for Life insurance models across Financial Reporting, Product Development, Forecasting, and related model uses. You will work directly with business leaders, model developers, and risk committees to assess whether models are fit for purpose.This role will report directly to the VP of Model Risk Management and offers broad visibility across Pacific Life’s products and functions.How you will make an impact:Lead comprehensive reviews of Life models and provide clear, practical recommendations to owners, senior leaders, and risk committees.Raise the bar on methodologies and assumptions by challenging practices, identifying areas of potential risk and driving for meaningful improvements.Provide expert guidance on efficient modeling techniques and robust governance practices, to bolster model risk management.Collaborate with cross-domain subject experts to understand and impact the business more holistically and help advance Pacific Life’s model risk framework and practices.Stay current on emerging practices, modeling techniques, technologies, and regulatory developments.The experience you bring:8+ years of actuarial experience with an FSA/FCIA designation.Deep experience in Life products, in areas of actuarial modeling, financial reporting, forecasting, pricing, or economic valuation.Ability to challenge technical work constructively and influence senior leaders and technical teams.Experience reviewing, validating, developing, or testing complex actuarial models.Strong communication skills, including the ability to explain complex modeling issues in clear business language.Strong project leadership, judgment, and stakeholder management skills.What makes you stand out:Experience with Prophet.Familiarity in emerging AI tools and advanced analytics.Experience building validation / replication / challenger models.Salary: $160, 290.00 - $187,005.00 CADCompensation RangeThe compensation range noted represents the company’s good faith minimum and maximum range for this role at the time of posting. The actual compensation offered to a candidate will be dependent upon several factors, including but not limited to experience, qualifications and geographic location.Working For Pacific Life ReEvery person in our global team is valued for the unique qualities they bring to our business and we seek to build their expertise and support their individual ambitions at every step. We work hard and thrive on achievement, but we also know how to have fun and relax too. We regularly host a range of team building days to strengthen our team's connection with each other and reflect on their successes.Providing employees with a healthy work-life balance is very important to our culture. We have a wide range of employee benefits and we host regular social activities and well being initiatives. We are also committed to supporting our employee's involvement in their communities, by actively fundraising, hosting charity events and overseeing volunteering opportunities.BenefitsLeave23 days of annual leave (Regular employees) with option to buy or sell more daysFertility leaveGenerous parental leaveHealthcareGroup Life Insurance and Accidental Death & Dismemberment coverage for all permanent employeesDental & Optical benefitsSavings & RetirementRRSP: company-matched contributionsWellnessEmployee and Family Assistance ProgramSubsidized gym membershipTime off for volunteeringCharitable matching of employee donationsAs part of our commitment to diversity and inclusion, we will provide reasonable adjustments during the recruitment process to ensure equal access to applicants with disabilities. Please contact us about your needs so that we can discuss these with you to make sure that suitable adjustments are made, where possible.Pacific Life Re ValuesPlease click here to view our company valuesUse of AIAs part of our commitment to a fair and efficient hiring experience, we want to inform you that we may use artificial intelligence (AI) tools to assist in reviewing resumes, and during the assessment process, including through platforms like HireVue. These tools help us identify relevant qualifications and streamline evaluations, but final decisions are always made by our hiring team. #J-18808-Ljbffr