Upstream is a rapidly growing national nonprofit working to expand economic opportunity and mobility by reducing unplanned pregnancy. Working in partnership with states, Upstream provides health centers of all types with sustainable training and technical assistance to ensure all women have access to the full range of contraceptive methods and are able to obtain the birth control method of their choice in a single visit with their health care provider at low or no cost.
Upstream is on track to achieve nationwide impact at scale. Our goal through 2023 is to partner with health centers that serve over 1 million women of reproductive age across four states. We launched our first state-based initiative in Delaware in 2014, followed by Massachusetts and Washington in 2017. North Carolina will be Upstream's fourth state for expansion. Philanthropic individuals and foundations have provided generous support for this ambitious plan for growth, including a $60 million lead investment by Blue Meridian Partners, which has helped grow Upstream's budget from $1.7 million just three years ago to approximately $25 million by 2019. Upstream's work has also garnered attention from a variety of leading publications, including The New York Times ( https://www.nytimes.com/2016/04/12/opinion/what-states-can-do-on-birth-control.html?ref=opinion ), Washington Post ( https://www.washingtonpost.com/news/posteverything/wp/2018/05/01/almost-half-of-pregnancies-in-the-u-s-are-unplanned-theres-a-surprisingly-easy-way-to-change-that/?utm_term=.f9fa42d87582 ), The Atlantic ( https://www.theatlantic.com/politics/archive/2016/05/billion-dollar-bets/481320/ ), CNN ( https://www.cnn.com/2018/05/16/opinions/delaware-birth-control-initiative-opinion-markell/index.html ), Vox ( https://www.vox.com/2017/4/14/15246794/podcast-reduct-teen-pregnancy-abortion-iud-implant-larc-delaware-upstream ), Forbes ( https://www.forbes.com/sites/bridgespan/2017/11/01/what-makes-a-nonprofit-big-bettable/#14b051d958ca ), and Marie Claire ( https://www.marieclaire.com/health-fitness/a21969793/iud-facts/ ).
Nearly half of all pregnancies in United States are unplanned, resulting in 1.5 million births each year. In North Carolina, 54% of all pregnancies are unplanned. Data show that close to half of unplanned pregnancies occur to women who are using contraception, but the method they are using did not work well for them. Many health centers do not offer women the full range of contraceptive options, and as a result, unplanned pregnancy is unevenly distributed across the economic spectrum. The rate of unplanned pregnancy among low-income women is five times higher than that of higher-income women, which can perpetuate the cycle of poverty and economic inequality for women and their children.
As we have in other states, we plan to partner with health centers of all types across North Carolina to ensure that women can easily access the full range of contraceptive methods on the same day of their visit at low or no-cost. Our results demonstrate that Upstream can have a significant impact on reducing unplanned pregnancy in North Carolina. A 2018 report by Child Trends, a leading national research center, estimates a 15% decrease in unplanned pregnancies among Title Xpatients in Delaware between 2014 and 2016, compared to a 1.3% decrease nationwide during the same period. Additionally, Upstream has worked with individual health centers in Texas, Arizona, New York, Ohio, and Puerto Rico.
When women are empowered to achieve their own goals of becoming pregnant only if and when they want to, there is an extraordinary opportunity to improve both short-term health outcomes and "downstream" outcomes related to education, economic mobility, and health.
The NC Regional Manager of Quality Improvement (QI) is a key leadership role and an exciting opportunity to support the development and execution of Upstream's Quality Improvement program across North Carolina. This full-time, exempt position works closely with the State Director of QI (SDQI) and Deputy Director of QI (DDQI) to effectively supervise and support QI Advisors (QIA) driving the implementation of Upstream's technical assistance and quality improvement program at partnering health care agencies in North Carolina.
The QI Regional Manager manages a portfolio of partnerships in North Carolina and provides strategic leadership to QI teams (pods) that are supervised by QI Advisors. QI Advisors lead the implementation of Upstream's technical assistance and quality improvement work with individual agencies and their underlying health centers with a goal of ensuring they have the best practice guidance, resources, and tools necessary to enable same-day access to all contraceptive methods. Depending on the structure of organizational entities, the Regional Manager may manage a portfolio of agencies that require enhanced executive relationship and project management. Depending on capacity on the team, the Regional Manager may also themselves deliver project work to one of our health care partners at select times. In conducting this range of activities, the Regional Manager may occasionally oversee the project work of QI team staff, e.g., QIC and/or IC, as a project supervisor, though not as a direct supervisor.
Essential Duties and Responsibilities
Oversee Quality Improvement Advisors and their assigned QI teams. Additionally, the QI Regional Manager will function as an expert advisor and executive liaison to partner agencies where enhanced relationship and project management opportunities present. Key responsibilities include:
Actively participate in the recruiting, hiring and onboarding of Quality Improvement Advisors (QIA), Quality Improvement Coordinators (QIC), and Implementation Coaches (IC).
Direct and/or support facilitation of interviews and selection processes across multiple State and National stakeholders
Successfully hire, high-talent, mission-focused individuals into each QI role
Actively lead and participate in onboarding and mentoring programs in partnership with State and National QI leadership
Drive QIA staff development through routine feedback, coaching, and regular performance reviews
Evaluate and provide regular and real-time feedback to QIAs; and develop performance improvement plans (if needed)
Ensure that each staff member understands their role responsibilities and expectations, including the management of QICs and ICs
As needed, coach on specific knowledge, skill, and competency areas
Foster key stakeholder relationships at agencies to establish and drive Upstream partnerships. Participate in the process of warm hand-off of the agency relationship from the Director of Partnership to the assigned QIA. Intervene, as needed, at partner agencies as a senior Upstream QI leader throughout the implementation life-cycle (note: program delivery duties inherent in QIA role may be fulfilled directly by QI Regional Manager, as needed).
Receive feedback from the QI Pod on additional resources and information needed to conduct delivery of Upstream's technical assistance and quality improvement approach, and provide upward feedback to State and National leadership.
Drive operational team cohesion and connectivity, respective to organizational culture attributes, systems, processes, and communication channels.
Work with QIAs to aggregate and provide state QI leadership team with data and metrics related to implementation progress, implementation fidelity, and quality improvement initiatives at their agency or agencies and to determine if adjustments to strategy, work plans, or implementation approach are required.
Work closely with NC Director of QI and DD of QI to foster the development and delivery of the broader North Carolina program strategy and the broader agency recruitment strategy for achieving impact in the state.
Required Education, Experience, Knowledge, Skills and Ability
At least 3-5 years experience leading teams to achieve goals and make impact in a direct supervisory setting.
Experience working directly with C-suite executives in a project management capacity towards an outcome-driven objective or project.
Experience working in a health care environment and understanding of the challenges of working in healthcare and reproductive health
Knowledge of quality improvement/assurance and service model change, implementation and maintenance
Knowledge of and experience in successfully implementing a framework for change management
Established experience managing projects across multiple stakeholder functions and levels (from direct reports to peers to executives)
Bachelor's degree in related field
Excellent written and verbal communication skills; communicates articulately and confidently under all circumstances; establishes rapport quickly with all levels of staff
Demonstrated ability to work and collaborate across multiple organizational functions and disciplines; demonstrated ability to collaborate, communicate, influence and work effectively with diverse staff
High level of proficiency and working knowledge of Microsoft Word, Excel, Power Point, and quick learner of new software/programs
Ability to travel extensively within the assigned geographic region, up to once per week
Relocation to North Carolina, if necessary
Valued and Non-Essential Education, Experience, Knowledge, Skills and Ability
(Not required to apply)
Strong knowledge of best practices related to same-day access to contraceptive care
Strong knowledge of data-driven, quality improvement methodologies and PDSA cycles
Master's in Public Health or Healthcare Administration
Ability to provide coaching and evaluation feedback that leads to effective performance and professional development
Builds and fosters a collaborative, integrated team by soliciting feedback and encouraging communication
Natural leader who organizes, motivates and inspires other to achieve goals
Top-notch internal and external customer service at all times, including prompt, professional, high quality verbal and written communications
Ability to effectively manage multiple projects simultaneously and prioritize accordingly
Ability to understand and communicate concepts quickly and accurately
Extremely well organized, detail-oriented and analytical
Confident and proactive self-starter who is skilled in taking initiative and working well independently
Demonstrated follow-through – meets stated project expectations – on-time and with quality
Demonstrates a high degree of adaptability, comfortable in establishing new direction, managing rapid change
Possesses excellent interpersonal skills. Builds and maintains positive, productive relationships with colleagues, staff, consultants, and clients
Solid work ethic and a team player attitude
Sense of humor
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.
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