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Director of Tribal Partnerships (Full Time or Contract)

Upstream USA Seattle, WA
  • Expired: over a month ago. Applications are no longer accepted.
Job Description

Upstream is a national nonprofit working to expand economic opportunity and mobility by increasing access to contraception and thus reducing unplanned pregnancy. Working in partnership with states, Upstream provides health centers with training and technical assistance to ensure all women are able to obtain the birth control method of their choice, in a single visit if they choose, at low or no cost.

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. We are now gearing up to launch our fifth state project in Rhode Island, in close partnership with Governor Raimondo's administration. By 2023 Upstream will have partnered with health centers that serve over one million women of reproductive age annually across these five 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 four years ago to approximately $48 million in 2020. Upstream's work has also garnered attention from a variety of leading publications including The New York Times, Washington Post, The Atlantic, CNN, Vox, Forbes, and Marie Claire.

Though Washington is a leader in reproductive choice, many women in the state still lack same-day access to all forms of birth control. Our Washington team works in communities across the state, partnering with health centers to improve contraceptive access, helping more Washington women determine their own reproductive goals. Upstream Washington is a statewide initiative to expand best-in-class contraceptive care across the state by 2023.

Position Summary

Upstream Washington is seeking a full-time or contract Director of Tribal Partnerships to support Upstream's engagement with the Indian Health Service, Tribal Community, and Urban Indian (ITU) healthcare systems by developing and managing relationships with health center and community organization partners across Washington. This role will play a critical internal and external leadership role in helping American Indian / Alaska Native (AI/AN) patients access best-in-class contraceptive care that supports their personal health and family decisions in a respectful and culturally sensitive environment at Upstream partner health centers and embed Tribal health priorities and perspectives in Upstream's program approach and policy work. Based in Washington state, the Director of Tribal Partnerships will build relationships and work to help Upstream become a trusted organization by the ITU system. The Director of Tribal Partnerships will be a respected community member who values relationships and is a passionate self-starter committed to improving reproductive health outcomes through Upstream's program.  

Essential Duties and Responsibilities

The Director of Tribal Partnerships will serve as the senior external representative of Upstream Washington to Tribes, the ITU system, and American Indian/Alaska Native communities. This role also serves as the internal subject matter expert on effective Tribally-oriented public health, culturally-grounded engagement practices, and our programmatic approach. The Director will ensure positive and meaningful relationships between Upstream and Tribes, American Indian/Alaska Native communities, and the ITU system, through all phases of relationship development and management. Duties will include representing Upstream externally, recruiting new ITU health center partners, advising Upstream staff on existing ITU health center partnerships, recommending and/or managing AI/AN inclusive enhancements to Upstream's ITU health center program, and obtaining and overseeing ongoing internal training to ensure Upstream staff engaging with Tribal,  AI/AN communities, and the ITU system have the knowledge, skills, and competencies to apply best culturally relevant practices to effectively improve access and quality of care for AI/AN people.  Specific duties include:

Health Center Partnership Development and Recruitment

  • Support Upstream's engagement with ITU health centers by developing and managing deep relationships with a network of Tribal health leaders from recruitment through sustainability phases of the Upstream training and technical assistance program
  • Develop formal partnerships between Upstream and ITU health centers to deliver the Upstream training and technical assistance program

External Relationship Development and Management

  • Manage Upstream Washington relationships with community partners working on Tribal health issues and in Tribal communities
  • Support national Upstream community engagement and outreach with Tribal health organizations and networks
  • Stay up to date on state and federal policy changes, trends and developments impacting ITU health centers through a network of external connections, to inform relationship development and recruitment strategies

Upstream program consulting and staff learning / training management       

  • Promote and support internal team learning on AI/AN health and cultures
  • Build a training and technical assistance program that is inclusive of Tribal communities
  • Manage ongoing internal Upstream staff training program to increase knowledge of the Tribe and AI/AN communities in WA and best practices for work with Tribal partners.
  • Advise staff managing projects with ITU health centers on best practices for relationship development and management of programs with Tribal communities
  • Advise and make recommendations on program adaptations for cultural relevance and competency of Upstream program with ITU health programs and look for opportunities to embed cultural relevance, cultural humility, and competencies for non-Tribal provider agencies serving Tribal and AI/AN patients
  • Advise and make recommendations on policy and systems change initiatives to ensure ITU system health perspectives and providers are included

Required Education, Experience, Knowledge, Skills and Ability

  • A minimum of 10 years of experience in community outreach, partnership development, sales, or a related field ideally with ITU leadership and communities.
  • Knowledge and experience in American Indian and Alaska Native (AI/AN) health care, public health, maternal and infant health, family planning and contraception, and/or reproductive rights
  • Knowledge and experience in working with Tribal governments, the Indian Health Service, Tribal and Urban Indian Healthcare System, and Tribal and AI/AN communities
  • Experience working with US AI/AN Tribes and Urban Indian Health Programs (UIHPs).
  • Experience in leading development and implementation of Tribal/ITU engagements and partnership development in program, policy, processes and protocols
  • Support Upstream's mission alignment and commitment to expanding access to reproductive health care


  • Confident and proactive self-starter able to take initiative and work well independently
  • Confidence working independently, exercising good judgment, and making informed decisions with limited direction
  • Ability to communicate clearly and effectively with community leaders, external partners and internal employees
  • Demonstrates a high degree of adaptability to work in a rapidly growing, post start-up organization
  • Possesses excellent interpersonal skills. Builds and maintains positive, productive relationships with colleagues, staff, consultants, and contractors
  • Solid work ethic and a team player attitude
  • Sense of humor

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 Equity, Diversity and Inclusion. Upstream USA is an E-Verify employer.

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

No phone calls please.


Upstream USA


Seattle, WA