Organizational Summary
Contraceptive care is basic healthcare. Yet too many patients in the U.S. struggle to access the care they need, when they need it. Founded in 2014, Upstream USA is a national, nonpartisan nonprofit dedicated to ensuring that equitable, patient-centered contraceptive care is available to everyone.
Our Mission and Impact
Upstream works to ensure individuals can make fully informed, autonomous decisions about the contraceptive methods that are best for them. We are currently the largest contraceptive organization in the country improving contraceptive care in primary care settings, operating in 37 states and Washington, D.C.
While our foundational work focuses on partnering with healthcare organizations offering primary care, such as federally qualified healthcare centers (FQHC) and health systems, we are always evolving. We are actively pursuing additional, innovative paths to ensure every patient has streamlined access to the contraceptive service of their choice, where and when it is most convenient for them.
A Different Kind of Nonprofit
Supported entirely by venture philanthropy, Upstream operates with a culture of aggressive growth and a laser focus on measurable outcomes. To maintain our independence and nonpartisan stance, we do not accept funding from the government or pharmaceutical companies.
- Our 2030 Goal: We are on a mission to partner with organizations that collectively reach 5 million patients of reproductive age.
- Recognition: We are a 2023 Audacious Project recipient, with our work featured in publications like Harvard Public Health, Bloomberg, and MedPage Today.
We welcome individuals who are driven by impact and scale to join us in making equitable contraceptive access a reality for all.
Position Summary
Upstream USA has a team of Clinical Leads who serve as clinical subject matter experts to Upstream teams and partner agencies, providing consultation and supporting the design of contraceptive care approaches and technical assistance offerings. They also support internal teams by providing embedded technical support for initiatives. We are seeking a dynamic and collaborative Clinical Strategy Advisor who will support the advancement of Upstream’s digital strategy initiatives. This individual will be embedded in the Upstream Digital Team, helping ensure products such as FreeBC are grounded in evidence-based practice, patient safety, and high-quality, patient-centered care.
Essential Duties and Responsibilities
Clinical Advising & Training (30% - 10 hours per week)
Clinical Advising Support for HCO partners
- Serve as a subject matter expert to Upstream teams responsible for engaging with Upstream partner agencies. Provide consultation to agencies, support design of contraceptive care and technical assistance packages.
- Establish trust and rapport with health system governance leaders in an effort to gain positive momentum and investment from key partners for implementing same-day contraceptive care services within various healthcare settings.
- Stay up to date and current on updates and changes related to contraceptive care.
- Assess, recommend, and identify service delivery improvements related to contraceptive care, including:
- Contraceptive protocols, policies, procedures, and consent forms.
- Working with Agency direct care staff to implement new workflows.
- Identify and recommend other technical assistance as needed.
- Assess defined measures for quality improvement and partnering with site leadership to test additional improvement opportunities, as needed.
- Conduct ongoing checkpoints with Practice Transformation Team members to maintain contraceptive care-specific practice changes with Upstream health centers based on their specific needs and work plan.
Clinical Training
- Deliver Upstream's clinical Core trainings, IUD practicum sessions, and IPPC trainings (as needed).
- Stay up to date and current on updates and changes related to contraceptive care.
- Mentor and support other Clinical Advisors who may deliver training by assisting with their training onboarding, and providing feedback and guidance
- Collaborate with the Upstream Training Design team to design, develop, and update training curricula and content.
- Serve as a Subject Matter Expert on clinical training innovation and make recommendations to ensure Upstream's clinical training is optimally effective and efficient.
- Collaborate with the Upstream Training team to inform training content to meet the needs of agencies.
- Develop and maintain implementation support from state-recognized medical societies and key partners.
Special Initiative: Digital Strategy (70%- 22 hours per week)
- Clinical Governance & Strategy: Serve as the clinical subject matter expert for all digital products. Define clinical protocols and ensure all digital workflows (telehealth, AI-driven navigation, and education) align with the highest medical standards and Upstream’s mission.
- Product Development: Partner with product and engineering teams to design, build, and iterate on digital health tools. Translate clinical requirements into product features that improve patient outcomes and experience.
- Telemedicine Oversight: Manage clinical relationships with current and future telehealth partners (e.g., Pandia Health). Ensure seamless clinical handoffs between digital discovery, virtual consultations, and in-person clinical care.
- Content & Quality Assurance: Lead the development and review of all clinical content, including medical educational materials, AI training datasets for the FreeBC navigator, and clinician-led video content.
- Innovation & Research: Stay at the forefront of digital health trends and reproductive health research. Use data-driven insights to evaluate the clinical impact of digital initiatives and identify opportunities for new product development.
- Clinical Liaison: Serve as subject matter expert internally and externally for Upstream Digital. Includes marketing/social messaging, client and board presentations and internal coordination, as needed, to leverage other Upstream clinical experts.
Additional Duties and Responsibilities:
- Serving as the lead clinician on special projects
- Lead on the development of clinical content for Upstream live Training and e-learning modules.
- Provide input on practice transformation/technical assistance strategies.
- Acts as a clinical leader for Upstream, demonstrating forward-thinking, best practices, and expertise in clinical evidence and policy.
- Assists in the creation of onboarding plans for new Clinical Advisors, and provides orientation on key topics to those new employees during the onboarding period.
- Collaborates with Technical Assistance Design leadership on new strategies and projects that optimize clinical skill set.
- Additional duties as assigned
Required Education, Experience, Knowledge, Skills and Ability
Upstream fosters a mission-oriented workplace and welcomes applicants of all backgrounds. The ideal candidate upholds our mission of accessible, patient-centered contraceptive care, builds trust through empathy and honesty, and contributes to a collaborative culture. They bring enthusiasm to their work, creating opportunities for connection and celebration.
- Nurse Practitioner, Certified Nurse midwife, Physician Assistant, or MD in clinical practice providing contraceptive care.
- The ideal candidate is a clinician who thrives at the intersection of patient care and technology. You have experience in direct clinical service—specifically in reproductive health—but you also speak the language of product managers and engineers. You are passionate about telehealth, digital health delivery, and using technology to scale equitable access to contraception.
- Active clinical license (NP, PA, CNM, or MD/DO) with a focus on women’s health, reproductive health, or primary care.
- Deep knowledge of contraceptive methods, patient-centered counseling, and the barriers to reproductive healthcare.
- Experience in digital health delivery, telehealth, or health-tech product development. You have a proven track record of successfully launching or managing digital clinical programs.
- Knowledge of and experience in best practices to support contraceptive care within community and/or hospital settings.
- Experience with reproductive justice and gender inclusion framework for sexual and reproductive health.
- Shown knowledge of challenges in working in healthcare and reproductive health
- Ability to balance clinical rigor with the agility required in a fast-paced digital innovation environment.
- Ability to analyze complex data and protocols in a manner that is clear and concise
- Excellent written and verbal communication skills; communicates articulately and efficiently under all circumstances; establishes rapport quickly with all levels of staff; ability to bridge the gap between clinical, technical, and non-technical stakeholders.
- Demonstrates the ability to remain focused, adaptable, and solution-oriented in the face of challenges, setbacks, or ambiguity. Approaches obstacles with a growth mindset and maintains a steady commitment to goals, even under pressure or changing circumstances; resilient.
- While we are a remotely based organization, we maintain an on-camera culture during meetings to support connection, engagement, teaming and collaboration. Must be comfortable and able to participate in this environment
Valued and Non-Essential Education, Experience, Knowledge, Skills and Ability
- Experience working in a variety of health care environments (e.g. private practice, public health, federally qualified health centers, and community clinics)
- Knowledge and experience facilitating quality improvement initiatives
Travel Requirements
This role will require up to 25% business travel. All Upstreamers can expect a minimum of 8 days of business travel per year to attend 1 annual organizational retreat and 1 or 2 annual team/department meetings.
Hiring Range
The hiring range for this role is $135/hr to $160/hr (based upon our pay transparency policy and candidate credentials)
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, fairness in internal pay considerations and will be made within the parameters of Upstream USA's compensation framework and philosophy.
Other Upstream Staff Expectations
- All Upstreamers must be able to attend work-related in-person meetings and functions as needed.
- In our hybrid work environments, there is a basic expectation that our Upstreamers will ensure that their work from home setups will have reliable access to phone and Internet to ensure connectivity to their teams.
- At Upstream we gather for moments that matter for training, teaming and connection. Our teams come together for occasional in person meetings and organizational retreats. As part of our hybrid work practices, this travel expectation will be applicable for all Upstreamers, even those based remotely.
- Engage in organization-sponsored learning & development
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. Intern positions and contingent worker roles are not eligible for benefits.
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. If you need anything in advance of your interviews, please reach out to your recruiter.
Our Culture
We are dedicated to fostering a fair and accessible talent lifecycle, ensuring that every individual has the opportunity to thrive. From recruitment to career development, we strive to create a workplace where talent is recognized, supported, and empowered to contribute meaningfully. Building a strong, representative workforce is essential to our success, and we prioritize collaboration, transparency, and shared leadership to cultivate an environment where all voices are heard and valued.
Our commitment extends beyond hiring—we invest in professional growth, mentorship, and inclusive workplace practices to support long-term success for our employees. You can learn more about our organization on our career site.
Upstream Careers
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. 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.
