Sr. Director of Digital Marketing (Direct-to-Consumer, Reproductive Healthcare)

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

Upstream USA is seeking a strategic, data-driven Sr. Director of Digital Marketing to lead the growth and evolution of Free BC, our direct-to-consumer (D2C) digital platform. Reporting to the Head of Digital Product, this leader will serve as the marketing strategist for Free BC, translating organizational priorities into high-impact marketing strategies that drive awareness, engagement, and access to care.

This role will lead the evolution of Free BC from a test-and-learn initiative to a scalable national program, developing integrated marketing strategies that effectively reach and engage individuals seeking contraceptive care—particularly historically underserved and vulnerable populations. The Director will oversee external agency partners, optimize multi-channel digital marketing campaigns, establish performance metrics, and use data-driven insights to continuously improve marketing effectiveness and return on investment.

In addition to leading day-to-day marketing strategy, this individual will play a key role in shaping Upstream's long-term digital marketing capabilities. They will help define the future marketing operating model, build scalable processes, and recommend organizational structures that support the continued growth of Free BC alongside Upstream's existing provider-focused (B2B) initiatives. The ideal candidate is a collaborative and innovative marketing leader with deep expertise in direct-to-consumer marketing, digital acquisition, agency management, and building high-performing marketing functions within a mission-driven organization.

This is a 12 month fixed-term role with the possibility of extension.

Marketing Strategy & Growth

Develop and lead the comprehensive direct-to-consumer (D2C) marketing strategy for Free BC, aligning marketing priorities with organizational goals, growth objectives, and measurable business outcomes.

Create and maintain a multi-year marketing roadmap with clear objectives, key performance indicators (KPIs), and success metrics across paid, earned, owned, and community-based marketing channels.

Lead the evolution of Free BC from a pilot initiative to a scalable national program through disciplined planning, prioritization, and execution.

Audience Acquisition & Engagement

Design and execute evidence-based marketing strategies that effectively engage diverse and historically underserved populations, including individuals with low incomes, rural communities, Spanish-speaking audiences, and others who face barriers to contraceptive access.

Develop audience segmentation strategies, customer journeys, and personalized messaging that improve awareness, engagement, and conversion across digital and community channels.

Partner with internal and external stakeholders to identify innovative, culturally responsive approaches that increase awareness and utilization of Free BC.

Performance Marketing & Optimization

Establish a robust test-and-learn framework that continuously evaluates campaign performance, identifies opportunities for optimization, and scales successful initiatives

Develop meaningful marketing dashboards and performance metrics that emphasize mission impact, customer acquisition, engagement, conversion, retention, and return on investment rather than vanity metrics.

Use qualitative and quantitative insights to continuously refine marketing strategies and improve outcomes for priority populations.

Agency & Vendor Leadership

Serve as the strategic lead for all external marketing agencies and vendors, providing direction, establishing clear performance expectations, and ensuring work aligns with organizational priorities.

Evaluate agency performance and, when appropriate, lead the sourcing, selection, contracting, onboarding, and ongoing management of agency partners.

Ensure agency deliverables reflect best practices in digital acquisition, creative development, analytics, and campaign optimization.

Organizational Leadership

Partner with senior leadership to define the long-term vision for Upstream's digital marketing capabilities and recommend organizational structures, staffing models, and operational processes that support sustainable growth.

Build scalable marketing operations, governance, and workflows that enable Free BC to grow alongside Upstream's provider-focused (B2B) marketing efforts while maintaining a dedicated consumer marketing strategy.

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