State Impact Officer

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, and North Carolina. 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 three years ago to approximately $25 million in 2019. 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 Rhode Island is a statewide initiative to expand best-in-class contraceptives by 2022. Many Rhode Island women still lack same-day access to the full range of contraceptive options, and almost half of pregnancies each year are unplanned. Our Rhode Island team will work in communities across the state to improve birth control access, helping more Rhode Island patients become pregnant only when and if they want to. 

Position Summary 

This position will play a key role in our commitment to continuous learning, in support of our programmatic efforts in Rhode Island.  The State Impact Officer (“SIO”) will implement a measurement, learning and evaluation strategy that supports Upstream’s work in Rhode Island, while serving as the lead and first point of contact in addressing data and research-related needs. Reporting to the Executive Director and based in Rhode Island, the SIO will be both a critical member of the local state team, as well as an important voice within the national Monitoring, Evaluation & Learning (MEL) Team.  The ideal candidate will bring technical expertise in gathering and analyzing data, an ability to translate data into actionable results, and demonstrated success in managing multiple workstreams in response to a diverse set of learning objectives.  

The State Impact Officer will also work closely with the national MEL Team and Upstream leadership as they consider the feasibility and desirability of potential external evaluation studies, and will play a central role in supporting any studies that are undertaken.  Responsibilities in support of such studies would include: coordinating data collection efforts; responding to requests for data, findings and information; as well as collaborating with evaluators, other Upstream staff in Rhode Island, and participating health centers and other external partners in coordinating learning activities. 

While this is a time-limited position anticipated through at least Q4 2022, there may be future opportunities within Upstream.

Essential Duties and Responsibilities 

The State Impact Officer will collaborate closely with a wide range of Upstream staff and stakeholders on the following: 

  • Overseeing and supporting the implementation of a third-party data platform used to summarize EHR-based performance measures among health centers participating in Upstream’s initiative;
  • Overseeing and supporting the implementation of a patient survey used to assess patient experiences with contraceptive counseling and eother outcomes at participating health centers;
  • Coordinating with appropriate state-agency and national partners to identify available data sources and protocols for accessing them
  • Leading assessment of all available data sources (both internal and publicly available) to monitor and evaluate programmatic impact;
  • Helping to develop and support pathways for internal learning from data, including: (1) feeding data from monitoring systems to the QI teams to support and inform quality improvement work; and (2) providing data analysis support as needed to inform state strategy;
  • Leading conversations with prospective Upstream partners to discuss our monitoring and evaluation approaches;
  • Managing and contributing to initiative reporting efforts to key external partners, including investors;
  • Supporting the program team on the ground in Rhode Island in assessing and leveraging available data streams. 

Required Education, Experience, Knowledge, Skills and Ability 

  • Master’s level degree in public health, public policy, evaluation or social science, including training in qualitative and quantitative data collection and analysis;
  • A minimum of five years of professional experience in monitoring and/or evaluation focused on improving results to inform practice;
  • Proven experience managing data collection activities, such as patient surveys, in a healthcare setting;
  • Working knowledge of administrative data related to health care systems, such as Medicaid claims data and data from electronic health records systems;  
  • Working knowledge of evaluation processes, approaches, and methodologies, including rigorous and mixed-methods designs and innovative analysis techniques;
  • Proven experience conducting applied analyses of quantitative and qualitative data using appropriate tools (e.g. SAS, STATA, SPSS, R, NVivo, Atlas.ti);
  • Strong oral and written communication skills and the ability to present results in a clear, coherent and concise way to diverse audiences, both lay and technical;
  • Confident, proactive self-starter with the ability to work independently, efficiently and adaptively in a fast-paced environment with minimal supervision;
  • Excellent interpersonal skills, with the ability to work collaboratively with team members in multiple locations, and demonstrated experience building relationships with partner organizations;
  • Solid work ethic: a team player, collaborative, open to giving and receiving feedback in a constructive and positive manner, sense of humor, professionalism and collegiality;
  • Willing to travel occasionally.

Valued and Non-Essential Education, Experience, Knowledge, Skills and Ability (not required to apply) 

  • Working knowledge of healthcare QI best practices, such as rapid-cycle improvement strategies and PDSA cycles
  • Experience working in health care settings and/or on health care evaluations, particularly in Rhode Island;
  • Familiarity and experience working collaboratively with Rhode Island State public agencies on projects that draw upon administrative data sets;
  • Familiarity with requirements and processes related to human subjects protection, data privacy, and protected health information; 

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 Diversity, Equity and Inclusion.                    Upstream USA participates in E-Verify.

Upstream Headquarters: 426 17th Street, #200, Oakland, CA 94612

No phone calls please.





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