Senior Contracts Manager

Trial Library is an AI-native research platform with a mission to improve healthcare outcomes by expanding access to precision medicine.

About Trial Library

Trial Library is an AI-native enrollment and care navigation platform that accelerates access to precision medicine. In collaboration with biopharmaceutical manufacturers, payers, and health systems, Trial Library enables the delivery of clinical trials as a standard care option - improving patient access, advancing oncology outcomes, and reducing the total cost of care.Backed by leading healthcare venture capital firms, Trial Library’s platform is currently deployed in 840+ clinics and 3,000+ providers nationwide.

About the Role:

Trial Library is seeking a Senior Contracts Manager to own the Company’s contracting function. You will be the primary legal point of contact for contracting and legal operations for the company. You will own the contract lifecycle from intake through drafting, negotiation, execution, and post-signature obligations, and administer our CLM platform. The right candidate is a passionate self-starter who thrives in a fast-paced healthtech environment and intelligently balances legal, regulatory, and compliance risk against business value. You genuinely love establishing administrative legal processes and advancing contracts, with an ability to move quickly without sacrificing precision.

• Draft from scratch, review, redline, and negotiate customer, vendor, partnership, and client agreements. These include MSAs, SOWs, NDAs, BAAs, DPAs, data sharing agreements, licensing agreements, API and technology partner agreements, revenue share agreements, healthcare provider network agreements, and ad hoc agreements, as well as amendments, change orders, renewals, and terminations.

• Partner with stakeholders to understand deal scope, objectives, and risk tolerance, and translate business needs into clear, enforceable contract language.

• Over time, represent Trial Library directly with commercial partners. This includes joining partner meetings and calls, leading live negotiations, and advancing deals to signature on the Company’s behalf.

• Advise business leaders on contractual rights and obligations, IP and data rights, and risk mitigation in plain business language.

• Escalate non-standard terms, data protection and security requirements, and legal or regulatory risks to the Head of Legal, with a recommended position.

• Monitor new and changing laws, regulations, and industry standards affecting our contracts, and make recommendations to update templates, playbooks, and fallback language before changes take effect.

• Prepare a deal sheet for each executed commercial contract that summarizes key terms, obligations, and risks for the teams responsible for performance.

• Negotiate high-risk healthtech contracts, including HIPAA business associate agreements and PHI/PII privacy, data-sharing, and security terms; fair-market-value compensation, revenue-share, and referral arrangements compliant with the Anti-Kickback Statute, Stark Law, and EKRA; and liability, indemnification, limitation of liability, warranties, insurance, IP, and AI data-use provisions.

Operations & CLM

• Serve as administrator and SME for our CLM platform, including templates, workflows, user permissions, reporting, enhancements, troubleshooting, and user training.

• Manage contract intake to meet business deadlines, and track obligations, renewals, and compliance.

• You’ll partner with the Head of Legal to build and maintain templates, playbooks, fallback language, and contracting policies and processes the function needs to scale.

• Identify opportunities to improve contracting workflows, reporting, and metrics.

• Support other legal and cross-functional projects as assigned by the Head of Legal.

• JD required.

• 5-8+ years of contract negotiation and management experience, handling high contract volume in healthtech, biotech, pharmaceutical, life sciences, or clinical research.

• Expertise in the regulatory, compliance, risk, and liability issues described above, with the judgment to apply them to complex, high-stakes deals.

• Hands-on experience administering a CLM platform, configuring workflows, templates, and reporting.

• Sound legal judgment and a track record of commercial agreement experience to inform when to hold a position, when to concede, and when to hold a position, when to concede, and when to prevent.

• Strong organizational and time-management skills across many deals and competing deadlines.

• Excellent written and verbal communication, including explaining contract terms and risks in clear, business-friendly language.

• Comfortable working independently with minimal supervision.

$140,000 - $175,000 a year

This is a hybrid role based in San Francisco, CA, with a requirement of three days per week in the office; Wednesday, Thursday, and Friday. The salary range for this position is $140,000–$175,000 per year and reflects a good faith estimate of base pay for candidates working in this location. Final compensation will be based on experience, skills, and qualifications.

Why Trial Library

• Meaningful impact — helping patients access clinical trials faster through better technology and workflows
• High ownership environment — autonomy to build, test, and influence strategy across the business
• Collaborative team culture — low ego, high trust, and close partnership across functions
• Opportunity for growth — join at an early stage with meaningful exposure to company-building and decision-making

Our Core Values

• Ally is our favorite moniker
• The broadest reach is worth the effort
• Celebrate measurable improvements in access and outcomes
• Fearless advocates for representation in research
• Incentives matter to stakeholders choosing our products
• Taking initiative is actually giving
• We are accountable for the experience of patients and providers
• Empathy and humility are the real dynamic duo

Our Benefits & Perks

• Health & Wellness:Comprehensive medical, dental, and vision coverage for employees and eligible dependents, along with disability, life, and supplemental insurance options designed to support your overall well-being.
• Time Off & Workplace Support:Flexible paid time off, observed company holidays, and a one-time home office stipend to help you create a productive and comfortable remote workspace within our hybrid environment.
• Financial & Lifestyle Benefits:401(k) program, pre-tax HSA and FSA options, commuter benefits, financial wellness resources, and access to legal protection plans to support both short- and long-term planning.
• Additional Support & Voluntary Benefits: Access to voluntary benefit offerings including pet wellness support, domestic partner coverage, and additional programs that support the diverse needs of our team members and their families.

Our Interview Process

Our interview process typically includes four stages, followed by reference checks and an offer. Depending on the role, particularly for technical or senior positions, the process may vary slightly and can include a technical assessment, case study, presentation, practical exercise, additional interview conversations, or conversations with members of our leadership team and investors.

Trial Library, Inc. is an equal opportunity employer committed to building an inclusive workplace. We provide equal employment opportunities to all employees and applicants and prohibit discrimination and harassment of any kind without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, national origin, ancestry, age, disability, genetic information, marital status, veteran status, military status, medical condition, family or medical leave status, political affiliation, or any other characteristic protected by applicable federal, state, or local law.

Trial Library, Inc. is committed to providing reasonable accommodations for qualified individuals with disabilities throughout the recruiting process. If you require assistance or accommodation, please contact View email address on click.appcast.io