Organization Summary

Upstream USA is a fast-growing, national nonprofit working to expand opportunity by reducing unplanned pregnancy across the U.S. Upstream partners with states to provide training and technical assistance to health centers, increasing equitable access to the full range of contraceptive options. Our transformative approach empowers patients to decide when and if they want to become pregnant, a critical step towards improving outcomes for parents and children.

Upstream is growing rapidly and is on track to achieve nationwide impact. After launching our first statewide initiative in Delaware in 2014, we have since launched projects in Washington state, Massachusetts, North Carolina and Rhode Island. By 2023, Upstream will have partnered with health centers that serve over one million women of reproductive age annually across these states.

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 four years ago to approximately $51 million in 2021. Upstream’s work has also garnered attention from many leading publications including The New York Times, Washington Post, The Atlantic, CNN, Vox, Forbes, and Marie Claire.

Upstream Washington is a statewide initiative to expand the best-in-class contraceptive care to every woman by 2024. Washington State is a leader in reproductive choice, yet many Washington women still lack same-day access to the most effective forms of birth control, and nearly half of pregnancies each year are unplanned. Our Washington team works in communities across the state to improve contraception access, helping more Washington women become pregnant only when they plan to. 

Join Our Talent Community in Washington State

We are accepting applications for future openings in Washington State.  Join our talent community by applying and submitting your resume on our career-site. When a role opens up that is applicable for your experience, a member of our recruiting team will reach out to you directly.

Below are some of the roles we often recruit for: These roles may become available in the following Washington locations: Seattle, Spokane, Wenatchee/Yakima, and other locations in Central/Eastern WA.

Training Manager - The Training Manager will manage the planning and delivery of all Upstream trainings across the state, working with the state-level QI team to ensure that the training is tailored to best serve the site. The Training Manager will manage a small team (including program coordinators and lead trainers) to schedule and deliver trainings, and will provide quality management and oversight for all trainings in the state.  

Key skills and experience include program and staff management, clinical or health education, facilitation, and experience in family planning or reproductive healthcare.   

Lead Trainer  - The Lead Trainer will deliver the Upstream training to a variety of support staff at health centers across the state on topics that include patient centered contraceptive counseling and education, shared decision making skills, and medically accurate contraceptive information.  The lead trainer will also train and prepare other trainers to deliver content, provide coaching and feedback to trainers, and will facilitate post-training debrief sessions with trainers.   

The lead trainer should have dynamic and engaging presentation/facilitation skills, exhibit effective adult learning principles, and be able to engage, encourage, and inspire when delivering an Upstream training. Additional skills and experience include possessing a working knowledge of the principles of learning, training methodologies, group dynamics, human behavior, and clinical or health education training background. 

*Trainer - The Trainer will be responsible for delivering Upstream’s training. Trainers should be dynamic, skilled facilitators, committed to Upstream’s model of hands-on, interactive, learner driven training models. Facilitators should be experienced in reproductive health.

  • *Licensed/Clinician - must be a mid-level practitioner or above (Physician's Assistant, Nurse Practitioner, Nurse Midwife, MD)                                                                                                                                                                         
  • *General/Support Staff - seasoned facilitator who should be a reflection of the people they are training. It's important that they have a connection to the community they are working in. Non-traditional educations and on-the-job skills development are highly valued in these Trainers.                                                                                                                                                                                                                                                                                                               *This is a part-time/consulting role- trainers are expected to facilitate at least 3 Upstream training per year.

Training Event Coordinator - The Training Event Coordinator will be responsible for ensuring smooth delivery of Upstream training program logistics, including planning, coordinating, and setting up/breaking down of Upstream training sessions. Duties include booking space, preparing training materials, and managing a/v.  

The ideal Training Event Coordinator is propelled by the quality of the experience they provide; they are highly sensitive to the needs of those around them, working behind the scenes to create a phenomenal experience for all those involved. Offering exceptional customer service without hesitation, they notice and tend to small details while remaining thoroughly aware of the larger organizational programming needs, be it juggling multiple events, unresponsive vendors, or troubleshooting audio visual issues. This person is a team player and a perfectionist. 

Quality Improvement Roles:  

State Director of Quality Improvement -The State Director of Quality Improvement leads the overall state-wide implementation of Upstream's technical assistance and quality improvement to partner agencies. In this role, the State Director ensures that the entire team, from Quality Improvement Managers to Quality Improvement Advisors, Quality Improvement Associates and Implementation Coaches, have the resources required to deliver the Upstream Implementation Framework with fidelity. They are also responsible for establishing and nurturing key relationships within the state to drive foundational Quality Improvement activities. Partnering with state and national leadership, this leader plays a critical role in setting Quality Improvementpriorities for the state year on year and works to set budgets and confirm resource needs accordingly. This person will play a significant role in the hiring and onboarding of the full Quality Improvement team and directly manages the Quality Improvement Managers who lead regional cohorts delivering the Upstream Quality Improvement model. The State Director implements internal communication vehicles that drive cohesion and integration as well as collaboration. 

Critical skills and experiences include leadership on data-driven, quality improvement initiatives, management of a large functional department or large project team with diverse roles, strategic planning, relationship management, and staff development.

Deputy Director of Quality Improvement  The Quality Improvement Deputy Director supports a team of diverse roles (QIAs, Coaches, Coordinators) implementing Upstream's technical assistance and quality improvement program across a cohort of partner agencies in each state. The Deputy Director of Quality Improvement provides guidance and direction on the use of tools, resources, and best practice approaches to support our agencies, while also monitoring implementation progress and outcomes of the overall cohort. The Deputy Director of Quality Improvement works with the State Director of Quality Improvement and other regional and national leadership to ensure that the team and our agencies have the resources needed to achieve impact. The Deputy Director of Quality Improvement will also play a key role in executing needs assessments and other foundational Quality Improvement activities during the early phase of implementation.

Critical skills and experiences include leadership or participation in data-driven, quality improvement or practice transformation initiatives, management of project teams working simultaneously, relationship management, and staff development. 

Quality Improvement Advisor  - The Quality Improvement Advisor works hand in hand with agency and health center leadership and staff to ensure that sites have the tools and resources necessary to meet the goal of reducing unintended pregnancy by providing same-day access of all contraceptive methods.  The Quality Improvement Advisor assesses current practices and systems related to the provision of contraceptive care and analyzes opportunities to integrate best practices through technical assistance. He/she/they then works in partnership with the agency to develop and implement a plan to achieve key process and quality improvement goals.

The Quality Improvement Advisor must be data-driven and analytical, a strong communicator, and possess a strong understanding of health center operations and administration.  The Quality Improvement Advisor is a project manager, advisor, and champion in one. 

Implementation Coach  - The Implementation Coach plays a critical role in supporting staff adoption of best practices in contraceptive access and patient-centered counseling. The coach works closely with trainers and the QIO to understand the specific learning needs of health center staff and apply tailored on-site, at-the-elbow coaching. 

The Implementation Coach must have in-depth knowledge of Upstream's training curriculum and be familiar with the various roles, responsibilities, and workflows of a health center. The Implementation Coach must have a positive personality, strong relationship-building skills, and natural mentoring abilities, with experience in adult learning techniques (e.g., simulation, observation, etc.) preferred.   

Quality Improvement Coordinator  -The Quality Improvement Coordinator provides coordination logistics, tracking and reporting support to the Quality Improvement Advisors and Coaches and work directly with the partner agencies in our portfolio. Tasks and activities can range from meeting scheduling and coordination (event planning), taking meeting minutes, entering data across various tracking tools, and coordinating the delivery of health center patient resources. 

The Quality Improvement Associate must be an effective project coordinator, attentive to details, and highly organized.  

Attributes For All Roles

  • 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

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 and a fitness and cell phone allowance for all full time employees and part time employees who work a minimum of 24 hours per week.

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 creating 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:

426 17th St, Suite #200, Oakland, CA 94612 and 2 Oliver Street, Suite 402, Boston, MA 02109

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.



Apply for this Job

* Required

When autocomplete results are available use up and down arrows to review
+ Add Another Education

U.S. Equal Opportunity Employment Information (Completion is voluntary)

Individuals seeking employment at Upstream USA are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation. You are being given the opportunity to provide the following information in order to help us comply with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requirements.

Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

Race & Ethnicity Definitions

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Form CC-305

OMB Control Number 1250-0005

Expires 05/31/2023

Voluntary Self-Identification of Disability

Why are you being asked to complete this form?

We are a federal contractor or subcontractor required by law to provide equal employment opportunity to qualified people with disabilities. We are also required to measure our progress toward having at least 7% of our workforce be individuals with disabilities. To do this, we must ask applicants and employees if they have a disability or have ever had a disability. Because a person may become disabled at any time, we ask all of our employees to update their information at least every five years.

Identifying yourself as an individual with a disability is voluntary, and we hope that you will choose to do so. Your answer will be maintained confidentially and not be seen by selecting officials or anyone else involved in making personnel decisions. Completing the form will not negatively impact you in any way, regardless of whether you have self-identified in the past. For more information about this form or the equal employment obligations of federal contractors under Section 503 of the Rehabilitation Act, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at

How do you know if you have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.

Disabilities include, but are not limited to:

  • Autism
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, or HIV/AIDS
  • Blind or low vision
  • Cancer
  • Cardiovascular or heart disease
  • Celiac disease
  • Cerebral palsy
  • Deaf or hard of hearing
  • Depression or anxiety
  • Diabetes
  • Epilepsy
  • Gastrointestinal disorders, for example, Crohn's Disease, or irritable bowel syndrome
  • Intellectual disability
  • Missing limbs or partially missing limbs
  • Nervous system condition for example, migraine headaches, Parkinson’s disease, or Multiple sclerosis (MS)
  • Psychiatric condition, for example, bipolar disorder, schizophrenia, PTSD, or major depression

1Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.