Senior Manager of Strategy - Reproductive Healthcare

Organizational Summary

Contraceptive care is basic health care. Yet too many patients in the U.S. struggle to access the care they want, when they want it. 

A national nonprofit founded in 2014, Upstream USA partners with healthcare organizations to provide free training, education, and technical assistance to improve their contraceptive services and meet their patients’ needs – at no cost to them. Over ten years, we’ve supported 200+ healthcare partners (including primary care practices, federally qualified health centers, health systems, and more) with a transformative approach that empowers patients to access the contraceptive care where they already receive most of their healthcare. We’re on a path to partnering with health care organizations that collectively serve 5 million patients by 2030.

We do not accept funding from pharmaceutical companies or the government. Our work is made possible by generous support from venture philanthropy. That privilege comes with high expectations about growth and scale and a focus on measurable outcomes and impact. 

We’re a 2023 Audacious Project recipient that continues to garner attention from many leading publications, including Harvard Public Health, Bloomberg, MedPage Today, Baltimore Sun, the Fresno Bee, and WBUR. We welcome individuals interested in career opportunities, partnerships, or philanthropic endeavors seeking additional information to visit our website (www.upstream.org) or email us at info@upstream.org.

Position Summary

Upstream USA is seeking a Senior Manager of Strategy to support the organization’s strategic planning, innovation initiatives, and special projects. Reporting to the Director of Strategy, this role plays a critical part in helping shape and execute organizational priorities by managing cross-functional projects, coordinating processes, and delivering high-quality analysis and recommendations to Upstream leadership. The Senior Manager will support multi-year strategic planning, help stand up and maintain an organizational innovation framework, and drive execution on special projects that advance Upstream’s mission of expanding equitable access to patient-centered contraceptive care. Please note that this is a 2 year, fixed term role.

Essential Duties and Responsibilities

Multi-Year Strategy & Analysis

• Support the design and execution of Upstream’s multi-year strategic planning process.
• Conduct market analysis, including both quantitative and qualitative methods of understanding the overall market and individual patients , synthesize insights, and help develop strategic goals and priorities.
• Drive financial modeling and scenario planning to support leadership decision-making.
• Define and track strategic performance, monitor progress and identify risks or opportunities to support growth.
• Prepare clear and compelling recommendations and presentations for the Director of Strategy and senior leadership.
• Map and analyze the healthcare stakeholder landscape; help to develop strategic recommendations for engaging key stakeholders to advance organizational goals.

Innovation Process & Framework

• Manage the design of and manage a structured innovation framework for sourcing, evaluating, and advancing ideas from both internal and external sources to diversify Upstream’s strategy for impact at scale.
• Guide the strategic innovation process for the organization, including idea sourcing, evaluation, and prioritization. Translate innovation ideas into actionable strategies that align with organizational priorities. Facilitate participation of internal staff across teams in the evaluation and testing of ideas, ensuring diverse perspectives are represented.
• Manage systems, tools, and processes to ensure the framework runs effectively and efficiently, and that promising ideas advance into implementation.
• Track and report on innovation projects and their outcomes, supporting continuous improvement.

Special Projects & Cross-Functional Execution

• Lead end-to-end project management, including planning, execution, monitoring, and delivery, ensuring projects are completed on time, within scope, and aligned with organizational goals. Provide cross-functional project management as necessary including research, analysis, timelines, and deliverables, for the Director of Strategy and senior leadership team.
• Adapt to organizational needs by taking ownership of discrete projects, ensuring outcomes are achieved at a high level of quality and within deadlines.
• Prepare high-quality reports, presentations, and data analyses for internal and external audiences, including senior stakeholders.
• Represent the organization in selected external meetings with senior-level stakeholders, building strong relationships and ensuring alignment on goals, expectations, and outcomes.

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.

• 6-7+ + years of professional experience in strategy, consulting, healthcare, or related fields.
• Demonstrated experience supporting multi-year strategy development:
• Proven expertise in quantitative strategy development, specifically in conducting Total Addressable Market (TAM) analyses and building dynamic growth curve models. Ability to use these models to stress-test assumptions and forecast the trajectory required to meet long-term impact goals.
• Strong track record in scenario modeling and financial analysis for new ventures or innovation portfolios. Must be able to build models that estimate the potential impact (PRA reach), financial sustainability, and resource requirements of proposed innovation concepts to support data-driven prioritization decisions.
• Expert-level proficiency in financial and operational modeling (Excel/Google Sheets). The candidate must be able to build transparent, audit-ready models from scratch that integrate diverse variables to inform executive decision-making.
• Experience synthesizing complex data sets—including public health surveillance data, internal performance KPIs, and financial metrics—to validate strategic logic models. Ability to translate quantitative findings into clear, actionable narratives for senior leadership and external stakeholders.
• Experience designing or supporting an innovation process or framework, including sourcing and evaluating ideas, managing governance, and coordinating cross-functional participation.
• Experience with market research or consumer insight efforts (e.g., those utilizing behavioral science, journey mapping, or persona development) to inform product/program design
• Proven ability to manage projects from start to finish, coordinating across teams, managing milestones, and delivering high-quality results.
• Experience preparing and presenting materials for executive-level and senior external stakeholders.
• Exceptional written and verbal communication skills; able to express complex concepts clearly and concisely.
• Highly organized with strong attention to detail and the ability to manage multiple projects simultaneously.
• Proficiency in Microsoft Office and Google Workspace tool.
• 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.

Travel Requirements

This role will require up to 15% 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 $140,000 - $145,000.

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.