Top 664 Pricing manager Jobs in Maine

Sr. Manager, Pricing - Pharmacy Appeals
CVS Health —Maine
- $67,900 - $182,549 a year
- Full-time
- Remote
- 7 years
- Microsoft Access
- Office
- Health insurance
- Dental insurance
7d
Sales Manager, SME & Growth
Airwallex —Maine
- $240,000 - $290,000 a year
- Full-time
- Remote
- Research
- Mid-level
- Leadership
Senior Manager Finance - REMOTE
Ryder System —Augusta, ME
- $130,000 - $140,000 a year
- Remote
- Finance
- Bachelor's degree
- Travel
- Disability insurance
- Health insurance
3h
Actuarial Manager, Commercial Auto Pricing (Mobility) - Remote
CSAA Insurance Services, Inc. —Augusta, ME
- $152,010 - $202,550 a year
- Full-time
- Remote
- Bachelor of Science
- 3 years
- Analysis skills
- 401(k) matching
8d
Aftermarket Business Manager - North East
JCB North America —Maine
- Full-time
- Remote
- Microsoft Excel
- Analysis skills
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
14d
Service Operations Manager - Building Automation & Mechanical Services
Siemens —Scarborough, ME
- $122,951 - $210,773 a year
- Full-time
- Engineering
- Office
- High school diploma or GED
- Health insurance
9d
Purchasing Manager
Portland Public Schools, Maine —Portland, ME
- $85,000 - $105,000 a year
- Overtime
- School experience
- Microsoft Excel
- Computer literacy
Procurement Manager
GardenCore LLC —Poland, ME
- $83,000 - $92,000 a year
- Full-time
- Remote
- 5 years
- Bachelor's degree
- Organizational skills
- AD&D insurance
- Paid holidays
Quick Apply
Warehouse Solutions Design Manager (remote)
Ryder System —Augusta, ME
- $120,000 - $140,000 a year
- Remote
- Dry van
- Research
- Flatbed truck
- Disability insurance
- Health insurance
8d
Project Manager – Maine & New Hampshire (Hybrid/Remote)
Tetra Tech —Portland, ME
- $120,000 - $150,000 a year
- Hybrid work
- Clean driving record
- Pass drug screening
- Master's degree
- Life insurance
Processing CAD Specialist
American Steel and Aluminum LLC —Saco, ME
- $65,000 - $70,000 a year
- Full-time
- AutoCAD
- Schematics
- CAD
- Health savings account
- Disability insurance
Quick Apply
Territory Outside Sales- Apartment -Base Salary and Uncapped Commissions
Spectrum —Portland, ME
- $40,000 - $100,000 a year
- Weekends as needed
- English
- Residential
- High school diploma or GED
- Mileage reimbursement
- Health insurance
Quick Apply
Cost Estimator - Senior
Fiber Materials —Biddeford, ME
- Microsoft Outlook
- Office
- Finance
- Paid holidays
- Health insurance
Assistant Manager
Circle K —Harrington, ME
- $17.60 - $19.00 an hour
- 8 hour shift
- Ability to walk for extended periods
- Merchandising
- Mid-level
- Paid training
- Health savings account
Quick Apply
7d
Pharmacist - Per Diem - BRHC Coastal Pharmacy
Maxor National Pharmacy Services, LLC —Bucksport, ME
- $68 - $72 an hour
- Online Application
- Management
- Customer service
- Mid-level
Quick Apply
Retail Sales Consultant
Namco Pools —Westbrook, ME
- $18 an hour
- Weekends as needed
- Customer service
- Merchandising
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
13d
Assistant Store Manager
Big Apple —South Portland, ME
- $18.80 an hour
- Full-time
- Mid-level
- Driver's License
- 21 years or older
- Paid holidays
- Health insurance
Quick Apply
Manager in Training (MIT)
Circle K —York County, ME
- $54,000 - $60,000 a year
- Overnight shift
- Background check
- Management
- Inventory control
- Health insurance
- Dental insurance
Quick Apply
Sales Representative
Logix, LLC —Belfast, ME
- $40,000 - $210,000 a year
- Email
- Clean driving record
- Mid-level
- Office
- Health savings account
- Disability insurance
Quick Apply
1d
Store Manager 711
STORAGEPRO INC —Brunswick, ME
- $22 an hour
- Urgently hiring
- Background check
- Sales
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
11d

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Sr. Manager, Pricing - Pharmacy Appeals

CVS Health -
Maine

Apply Now

Job Details

Full-time
$67,900 - $182,549 a year
7 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Appeals
Pricing strategies
Regulatory compliance in claims processing
State healthcare regulations
Case appeal in utilization management
Business management
Business operations
Insurance claims appeal handling
Healthcare compliance
Senior leadership
Analytics

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
The Senior Manager, Pricing will lead a team colleagues and contractors in the management of specific functions related pharmacy reimbursement appeals including the Service Warranty process as well as supporting the Department of Insurance and Secondary Appeals operations. In this role, you will ensure the appeals are executed under tight Turnaround Times (TATs) and with high accuracy while making sure the team is appropriately staffed and organized. In addition, you will be responsible for developing and implementing solutions individually and being a lead working with partners to improve and automate processes to increase productivity and fulfill state regulatory changes. You will be leading and coaching the appeal team coordinators as well as guiding other internal business units to resolve issues quickly. The Senior Manager, Pricing is also responsible for working legal and compliance team to ensure state regulatory updates are operationalized. This role requires a thorough knowledge of claim adjudication, appeals related processes, and being a leader working with other internal business units to develop new solutions to meet the ever-increasing number of complex appeal bill compliance requirements. The position will be responsible for quality control process to ensure compliance.

What you will do

Leads with strategic leadership and guidance to pharmacy reimbursement appeals teams, ensuring effective strategies and operations are effectively progressed to improve performance.
Oversees pharmacy appeals service warranty process to ensure timely processing and compliance with state regulations
Reviews and responds to complex inquiries related to pharmacy reimbursement appeals submitted by state regulators and pharmacies.
Analyzes market trends, and competitive insights to generate actionable recommendations.
Collaborates cross-functionally with legal, finance, and account teams to align client strategies with business goals, enhance value propositions, and optimize appeals services.
Influences stakeholders through effective communication and negotiation, leveraging operations expertise and industry knowledge to establish mutually beneficial partnerships and agreements.
Applies experienced-based pharmacy claims and appeals knowledge and insights to influence strategic decision-making.
Counsels and mentors team members, providing guidance and support to enhance their skills and professional development.

Required Qualifications

7 year’s experience in pricing, PBM/healthcare operations, process improvement, quality, analytics, or related domains
5+ years directly leading operations teams
1+ years’ experience with pharmacy appeal related processes and state regulations, and claims adjudication, including claims adjudication logic

Preferred Qualifications

Excellent leadership skills
Proficient in Excel, MS Access, Salesforce, and Pharmacy Portal
Ability to work under tight deadlines
Strong mathematical problem-solving skills
Prior PBM Knowledge
Familiarity with wholesaler invoices

Education

Bachelor’s Degree or equivalent experience required.

Pay Range

The typical pay range for this role is:

$67,900.00 - $182,549.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/31/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

pricing manager jobs in maine

Sr. Manager, Pricing - Pharmacy Appeals

Sales Manager, SME & Growth

Senior Manager Finance - REMOTE

Actuarial Manager, Commercial Auto Pricing (Mobility) - Remote

Aftermarket Business Manager - North East

Service Operations Manager - Building Automation & Mechanical Services

Purchasing Manager

Procurement Manager

Warehouse Solutions Design Manager (remote)

Project Manager – Maine & New Hampshire (Hybrid/Remote)

Processing CAD Specialist

Territory Outside Sales- Apartment -Base Salary and Uncapped Commissions

Cost Estimator - Senior

Assistant Manager

Pharmacist - Per Diem - BRHC Coastal Pharmacy

Retail Sales Consultant

Assistant Store Manager

Manager in Training (MIT)

Sales Representative

Store Manager 711

I want to receive the latest job alert for pricing manager in maine

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