Senior Commissioning Manager Jobs in UK 2026

Senior commissioning and contract leadership roles remain central to how NHS organisations deliver sustainable, high-quality healthcare services. This Senior Commissioning Manager opportunity at Cambridge University Hospitals NHS Foundation Trust offers experienced healthcare, commissioning, and financial professionals the opportunity to lead strategic contracting activities within one of the UK’s leading NHS organisations.

About the Role

Cambridge University Hospitals NHS Foundation Trust is seeking a Senior Commissioning Manager to join its Commissioning team. This is a senior-level leadership position responsible for overseeing a portfolio of NHS and non-NHS contracts while supporting financial performance, service delivery, and contractual governance across the Trust.

The successful candidate will work closely with senior leaders and external partners to ensure commissioning arrangements support operational priorities and long-term healthcare delivery objectives.

About the Organisation

Cambridge University Hospitals (CUH) NHS Foundation Trust operates Addenbrooke’s Hospital and The Rosie Hospital in Cambridge and is one of the UK’s most recognised academic and specialist healthcare providers. With more than 13,000 employees and over 1,100 beds, the Trust delivers local, regional, national, and international specialist services. CUH promotes a culture centred around its values of being Safe, Kind, and Excellent while supporting innovation and clinical excellence.

Job Duties

Support the Deputy Director of Commissioning in securing legally compliant NHS and non-NHS contracts.
Manage and oversee the Trust’s commissioning contract portfolio.
Lead and develop the Commissioning team through performance management and staff development.
Provide leadership, support, and challenge to maintain effective team performance.
Monitor commissioning performance, financial outcomes, and contractual delivery.
Manage contractual disputes with commissioners and coordinate resolution processes.
Build effective relationships with external organisations including NHS England, Integrated Care Boards (ICBs), and Integrated Care Systems (ICSs).
Support service development initiatives aligned with Trust priorities.
Produce reports, financial analysis, and strategic recommendations.
Contribute to commissioning decisions that support clinical service delivery.

Job Requirements

Degree-level education, professional equivalent qualification, or equivalent commissioning experience.
Professional accountancy qualification or equivalent professional credential.
Substantial experience working within healthcare services.
Experience in commissioning, contracting, or financial planning roles.
Strong financial management and budget oversight capability.
Experience negotiating in resource-constrained environments.
Experience managing teams and developing staff performance.
Ability to influence and build consensus across internal and external stakeholders.

Preferred Qualifications

Previous experience working within NHS commissioning organisations.
Experience within NHS provider environments.
Strong understanding of NHS commissioning reforms and policy developments.
Knowledge of healthcare contracts, governance, and legal frameworks.
Experience handling complex commissioning agreements and disputes.
Strong analytical and strategic decision-making capability.

#339966;">#339966;" href="https://www.jobs.nhs.uk/candidate/jobadvert/C9180-26-0803" target="_blank" rel="noopener">Click Here to Apply

Conclusion

This Senior Commissioning Manager role provides an opportunity to lead strategic commissioning and financial operations within one of the UK’s leading NHS trusts. It is particularly suited to experienced healthcare professionals who combine commissioning expertise, financial leadership, and stakeholder management with a passion for supporting high-quality patient services.

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