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.
About Upstream Digital
Upstream Digital is the innovation arm of Upstream USA, a national nonprofit dedicated to ensuring that all people have equitable access to the full range of contraceptive care. We believe that access to birth control should be easy, patient-centered, and—above all—free.
As reproductive healthcare faces increasing pressure, the traditional ways of accessing care are often no longer enough. Research shows that patients want their birth control through multiple, flexible channels, yet nearly 1 in 10 low-income women still discontinue their preferred method due to cost. Upstream Digital was created to bridge this gap by building modern, technology-forward solutions that meet patients exactly where they are.
Our Mission: FreeBC
Our flagship initiative, FreeBC, is an innovative digital platform designed to remove every barrier between a patient and their reproductive health choices. We combine evidence-based education with direct access to care through a seamless, bilingual (English and Spanish) experience.
- Integrated Care: We provide a direct line to both virtual and in-person services. Through our telehealth partners, patients can access pills, patches, rings, and more, while our network of local clinics provides provider-dependent methods like IUDs and implants.
- Empowered Choice: Using a custom-trained, empathetic AI tool, clinician-led videos, and human navigators, we provide neutral information so patients can feel confident in the method that works best for them.
- True Accessibility: We eliminate the financial burden. The costs of both the medical visits and the contraceptive methods are 100% covered by Upstream USA, ensuring that FreeBC users never pay out of pocket.
Position Summary
UpstreamDigital USA is seeking a creative and data-driven FreeBC Senior Engagement Manager to join the Upstream Digital team. This mid-career level role is focused on the "growth" side of our flagship digital product. Your primary mission is to ensure that the people who need FreeBC know it exists and continue to find value in the platform throughout their reproductive health journey. And we continue to find innovative ways to reach our audiences in need.
The Senior Engagement Manager will lead the charge in driving site awareness and hit ambitious utilization metrics. You will be the architect of our engagement and re-engagement strategies, coordinating everything from grassroots community outreach to sophisticated social media ad campaigns. The ideal candidate is a savvy digital marketer who wears a product hat, who understands how to build products, community and trust in a digital health setting and is excited about bringing contraception access to the hands of everyone. This is a 12 month fixed term role. There may be opportunities to extend the duration of the role in the future based on organizational need and the achievement of key departmental milestones.
Essential Duties and Responsibilities
- Strategy & Execution: Develop and execute a comprehensive engagement and re-engagement strategy to drive user acquisition and long-term retention on the FreeBC platform.
- Marketing Coordination: Lead and support diverse marketing efforts, including managing social media accounts, coordinating paid digital advertising, and overseeing the creation of marketing collateral, via our agency and internal.
- Community & Grassroots Outreach: Organize and support grassroots campaigns to build local awareness in pilot regions (starting with Colorado). This includes identifying and partnering with community organizations and influencers. Using metrics to inform our next strategies and outreach plans.
- Advisory Management: Facilitate and gather insights from patient and clinical advisory groups. Ensure that the "voice of the patient" and clinical expertise are integrated into all engagement tactics.
- Performance Tracking: Monitor site awareness and utilization metrics. Use data-driven insights to pivot strategies and ensure key performance indicators (KPIs) are being met or exceeded.
- Content Optimization: Collaborate with the content team to ensure social media posts, ads, and engagement emails are evidence-based, culturally competent, and high-performing.
- Feature Enhancement: Play a vital role in the digital product team by using data to inform product decisions, being the voice of the user/personas and translating that into feature prioritization justification, and helping provide solid recommendations for AB testing and ultimately help enhance roadmap decision making.
- CAC (customer acquisition cost) Optimization: Ensuring our marketing campaigns are cost effective and provide justification for spend to Call to Actions
- Other duties as needed to build a strong digital asset and ensure "they will come"
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.
- Experience: 5+ years of experience in digital product development including marketing, growth marketing, or product management. Must demonstrate previous digital engagement experience.
- Digital Marketing Toolkit: Proven experience managing social media platforms (organic and paid), email marketing campaigns, and digital ad spend (Meta, Google, etc.).
- Strategic Thinking: Ability to build an engagement funnel from scratch—moving a user from "unaware" to "active user" to "re-engaged advocate."
- Relationship Management: Experience working with advisory boards or community partners to solicit feedback and build brand trust. Responsible for managing external marketing agency and campaigns.
- Analytical Skills: Comfortable using analytics tools to track campaign performance and site traffic.
- Mission Alignment: A deep-seated passion for reproductive health, health equity, and patient-centered care.
- Growth Mindset: You are constantly looking for new, innovative ways to reach our target audience and improve utilization.
- Organized Multitasker: You can manage a grassroots event one hour and analyze a digital ad campaign the next.
- Communicator: You can write compelling copy that resonates with patients while maintaining clinical accuracy and empathy.
- Collaborative: You enjoy working across teams (Product, Ops, Clinical) to ensure a unified brand voice.
Travel Requirements
This role will require up to 20% 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.
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.
