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.

This is a fully benefited, full-time Upstream USA position that has been funded for 12 months from date of hire. There is the possibility of extension or conversion to a continuing position, contingent upon performance meeting the needs of the department, organizational need, and the continued availability of funding designated to support the position.

Position Summary

Upstream is scaling its use of AI across the organization: in program delivery and practice transformation, partnership success, development, finance, marketing and communications, and within the technology team itself. Reporting to the Director of Data, Analytics and Technology (DAT), this role is a hands-on, forward-deployed position that will embed directly with teams across Upstream to understand how their work gets done, identify where AI can help (and where it doesn't), build working solutions, and stay with those solutions through adoption and measurement.

This is a manager/builder/coach role: you will discover and prioritize use cases, prototype and deliver practical tools, and develop the training and resources that raise AI fluency organization-wide, all while leading tool evaluations, guardrails, and cost stewardship that keep our AI footprint responsible and sustainable.

Essential Duties and Responsibilities

Use Case Discovery & Prioritization

Embed with teams across Upstream to understand end-to-end workflows, undocumented processes, and the manual work that slows them down.
Identify, scope, and prioritize AI and automation opportunities based on business impact, feasibility, adoption potential, and risk.
Translate ambiguous business problems into clearly defined use cases, solution hypotheses, and build plans.
Exercise judgment about what is worth building — including recommending against AI when a simpler process change or an existing tool solves the problem.

Solution Building & Delivery

Design, build, test, and deploy practical AI-enabled solutions — prompts, skills, agents, automations, and lightweight applications — using Upstream's approved AI tools, platforms and enterprise data.
Prototype rapidly, put working solutions in front of real users quickly, and iterate based on feedback and observed usage.
Build and curate a reusable library of prompts, skills, templates, and workflow components so that solutions compound rather than live in one person's hands.
Partner with DAT colleagues to transition validated prototypes into supported, production-ready solutions when scale or sensitivity warrants it.
Document solution requirements, configurations, operating procedures, and expected outcomes.

Enablement, Training & Adoption

In collaboration with other DAT team members, d

AI Enablement Manager (Reproductive Healthcare - 12 month fixed term) at Upstream USA