Organizational Summary

Upstream USA is a growing, national nonprofit committed to ensuring that equitable, patient-centered contraceptive care is made available to any patient and is fully integrated into the health system as part of basic health care. We envision a future where all patients are screened for their contraceptive needs and offered patient-centered contraceptive counseling that’s free from bias, noncoercive, trauma-informed, and delivered by knowledgeable providers and support staff following best medical practices and evidence-based guidelines. We believe all patients should be able to access the contraceptive service of their choice – when they want it and where it is convenient for them to get it. 

We do this by partnering with healthcare organizations to provide them with free training, education and technical assistance – from urban to rural, from large hospitals to small clinics. We know patients and providers want options that meet their individual needs, and our team of practice change experts work hand-in-hand with healthcare organizations to uplift contraceptive care services and drive exceptional patient outcomes, all at no cost to them. 

Across the nation, there are challenges to accessing the high-quality, patient-centered contraceptive care patients deserve. To meet this growing need, Upstream is in the midst of a national expansion to transform contraceptive care. We began by partnering with a single healthcare organization in 2014, when Upstream was founded; today, we have partnered with more than 150 across the nation, and we’re on a path to serving 5 million patients by 2030. 

Upstream is funded primarily through philanthropic individuals and foundations, and does not accept funding from pharmaceutical companies. Upstream’s budget has grown from $1.7 million just six years ago to approximately $60 million in 2024. Upstream’s work has also garnered attention from many leading publications, including Harvard Public Health,  Bloomberg, MedPage Today, and Politico.

Join Our Talent Community

We are accepting applications for future openings on our remote Practice Transformation teams around the US.  Join our talent community by applying and submitting your resume online.  Our Practice Transformation team members help us delivery quality program implementation for our healthcare center agency partners.  

  • Senior Practice Transformation Directors

Senior Practice Transformation Director (PTD) oversees quality delivery/program implementation for multiple healthcare organizations (HCOs) by optimizing within set resources. They lead and supervise a program delivery team that can include a Practice Transformation Lead, a Practice Transformation Associate, and Practice Transformation Coordinators. The SPTD will recommend HCO scope and required resources and will determine HCO work plan and execution.  Other key responsibilities include evaluating the cost to deliver our programs at assigned HCOs, evaluating HCO performance outcomes and sustainability, ensuring the Practice Transformation team’s engagement including the HCO's achievement of core capacities and healthcare organization satisfaction.

  • Practice Transformation Leads

The Practice Transformation Lead (PTL) drives the implementation of Upstream’s technical assistance and quality improvement program with partnering health care agencies. The PTL leads the partnership engagement and manages the overall project and relationships for Upstream, coordinating with a team of Upstream Practice Transformation staff assigned to the health center. The PTL will ensure that health center locations have the best-known practice guidance, resources, and tools necessary to meet the goal of increasing access to high-quality contraceptive care and working to ensure that it is integrated into the health care system as basic healthcare.

  •  Practice Transformation Associates

The Practice Transformation Associate (PTA) supports the Practice Transformation Lead (PTL) in driving  the implementation of Upstream’s technical assistance and quality improvement program with partnering health care organizations. The PTA is a growth role that works alongside a PTL to learn the ins and outs of partnership engagement, manage the overall project and relationships for Upstream, and coordinate with a team of Upstream Practice Transformation staff assigned to the health center. The PTA will ensure that health center partners have the best-known practice guidance, resources, and tools necessary to meet the goal of increasing access to high-quality contraceptive care and working to ensure that it is integrated into the health care system as basic healthcare.

  • Practice Transformation Coordinators

The Practice Transformation Coordinator (PTC) provides administrative and coordination support to our Practice Transformation teams.   The PTC serves on a team dedicated to supporting our external healthcare organization partners and reports to the Director of Practice Transformation or other supervisors, as assigned.  The PTC is responsible for overall coordination and organization for the team.  This includes meeting scheduling, minute taking for critical HCO facing meetings, logging of data into Salesforce, and managing the distribution of materials to our HCO partners.

Additional Attributes 

  • Confident and proactive self-starter who is skilled in taking initiative and working well independently
  • Demonstrates a high degree of adaptability to work in a rapidly growing, post start up organization
  • Possesses excellent interpersonal skills. Builds and maintains positive, productive relationships with colleagues, staff, consultants, and clients
  • Solid work ethic and a team player attitude
  • Sense of humor
  • Interest in a mission driven organization!
  • Able to attend work related in-person meetings and functions as needed (Upstream employees are required to be fully vaccinated to attend in-person work-related activities.  Reasonable Accommodations will be made for individuals with a sincerely held religious belief or disability who are not vaccinated)

Pay Transparency

Final offers for this position will be based upon several factors including the scope of the role, market compensation analysis, position requirements, candidate’s experience level and capabilities, internal pay equity considerations and will be made within the parameters of Upstream USA's compensation framework and philosophy.

Attributes

The ideal candidate will embody and embrace our core values which serve as our operating principles:

  • We keep our mission at the center; Upstream's mission is to ensure that equitable, patient-centered contraceptive care is basic healthcare
  • We trust each other; we are reliable, empathetic, compassionately direct, and confident in each others’ ability to do the same
  • We work every day to build an equitable, diverse and inclusive culture; we respect the backgrounds contexts and experiences of individuals, teams and partners in our interactions
  • We bring joy to our work; we create opportunities to celebrate, connect and strengthen relationships with one another.

Upstream Benefits

Upstream USA offers a comprehensive benefit package including medical, dental, vision, life insurance, long and short term disability, 401K with a match, generous vacation, personal, sick and holiday time off, parental leave, professional development, a fitness and cell phone allowance for all full time employees and part time employees who work a minimum of 24 hours per week.  

Hiring Process

Candidates who advance in our preliminary review process will have an opportunity to discuss the position, their employment background and lived experience with a member of our talent acquisition team by telephone. Those who advance to subsequent steps in our interview process may participate in up to three rounds of meetings by Zoom or in person and in a thought exercise/case study assignment. Each round could consist of multiple meetings with various Upstreamers.

EDI Vision Statement

Internally, we envision promoting equity by reducing disparities in the Upstream talent lifecycle and engagement, cultivating a diverse workforce and inclusive culture, and fostering power sharing when we make decisions.

EDI Guiding Principles

Through Equity, both in the workplace and in contraceptive care, we address root causes that enable disparities to occur, acknowledge that different resources and opportunities may be needed to reach fairer outcomes, and implement systems-level changes that are sustainable over time.

Through Diversity, we acknowledge, respect, and celebrate the collective mixture of differences and similarities of Upstreamers and our community partners. At Upstream, we value the diversity of identities at all intersections, while at the same time centering racial diversity.

Through Inclusion, we succeed at creating a culture of belonging that embraces differences in identities and experiences by building trust, joy, and psychological safety. We cherish and elevate these differences through power-sharing in how things get done internally and in service of our mission. 

Communities of Belonging

Serving as employee resource groups for Upstreamers, Communities of Belonging assist in advancing our equity, diversity, and inclusion journey. They assist in instilling organizational values in our work and support our EDI vision. Open to all employees, Communities of Belonging create opportunities for leadership development, community engagement, support, and resource mobilization.

Upstream Careers

At Upstream, we embrace diversity. We nurture it and we thrive on it because it benefits our organization, our partners, and our community. Our goal is to attract, develop and retain exceptional people, and to create a work environment that is dynamic, rewarding and enables each of us to realize our potential.  Upstream is committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, genetic information, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. If you have a disability or special need that requires accommodation, please let us know. Learn more  about working at Upstream, our values, and our commitment to Equity, Diversity and Inclusion. Upstream USA participates in E-Verify.

Upstream Headquarters

2 Oliver Street, Suite 402, Boston, MA 02109

www.upstream.org

No phone calls please.

Be advised that we do not ever conduct hiring interviews via text or email. Please protect yourself by learning more about our hiring practices and common red flags to look out for.

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