Michigan - Chief Administrative Officer

Posted By: Cathy Duffy Career Center,


The mission of Birth Detroit is to provide midwife safe, quality, loving care through pregnancy, birth, and beyond. We are a team of birth workers, birth advocates and public health leaders working together to open Detroit’s first freestanding community birth center.

The Chief Administrative Officer (CAO) and Chief Clinical Officer (CCO) make up the Birth Detroit executive leadership team. The CAO provides administrative leadership to assure values-aligned operations, and the CCO provides clinical leadership to ensure safe, quality, loving care for Birth Detroit families. The CAO directs the organization's administrative functions, ensuring efficient operations, strategic planning, financial sustainability, and compliance with regulatory requirements.

The CAO reports to the Board of Directors, and has overall administrative management and responsibility for growing and sustaining Birth Detroit community-based midwifery clinics and freestanding community birth centers. The CAO will combine inspirational leadership, values-based management and creative strategy to ensure that Birth Detroit is continually well-equipped to embody its values and advance its mission. The CAO is an exempt, hybrid, full-time position.


Strategic Leadership

  • Together with the CCO, in a shared leadership model, collaborate with the Board of Directors to develop and implement the organization’s strategic vision, goals, and objectives.
  • Provide leadership in aligning administrative functions with the birth center's mission and values.
  • Work closely and openly with the Board and its work groups, ensuring ongoing communication of risks, issues, as well as successes.
  • Participate in Board of Directors meetings and represent organizational accomplishments, priorities and concerns.
  • Develop and nurture a culture of shared leadership and collaboration, actively engaging Birth Detroit Board members, Advisory Council, volunteers, partners and funders.
  • Develop and implement new vision-aligned programs and services in collaboration with the CCO and the Birth Detroit leadership team.

Administrative Operations

  • Develop and implement operational policies, procedures, and protocols to maintain high-quality standards of care.
  • Hold, grow and lead in operationalizing the vision of Birth Detroit as a model for community-centered Black, Indigenous and people of color-led perinatal care and birth center development.
  • Provide thoughtful, visionary, inclusive and transparent executive leadership that embodies Birth Detroit values and supports Birth Detroit’s mission.
  • Apply innovative thinking and performance measurements to analyze and support strategic decision-making.
  • Present strategic options, plans, timelines and resources and gain board approval as needed to carry out the work of the mission of the organization.
  • Lead development and implementation of strategic and operational plans in collaboration with the Board of Directors, staff leadership team, consultants, advisors and community.

Leadership & Administrative Management

  • Collaborate with the CCO to develop and maintain administrative guidelines that are compliant with state licensure, insurer payments and regulations.
  • Provide leadership and guidance to staff, fostering a positive and inclusive work environment that embodies values of safety, love, trust and justice.
  • Oversee recruitment, hiring, training, and performance evaluations of administrative staff.
  • Encourage professional development and continuous learning opportunities for staff.
  • Oversee the day-to-day operations and ensure its overall successful long-term operations.
  • Lead, coach, develop and retain leadership and staff teams dedicated to Birth Detroit’s mission, overseeing processes such as hiring, separation, ongoing staff development, performance management, and compensation and benefits.

Development & Donor Stewardship

  • Cultivate, grow and steward development and fundraising as a key connector in collaboration with the Development & Major Gifts Manager, DEVELOP workgroup and the Board.
  • Initiate, cultivate, and steward relationships with Birth Detroit’s individual, foundation, public, community and private organization supporters.

Fiscal Management

  • Develop, manage, and oversee the annual budget in collaboration with the CCO and finance team.
  • Monitor board-approved budget and manage daily financial operations to ensure maximum utilization of resources and optimum financial positioning for the organization.
  • Work with the Chief Financial Officer to file form 990 annually, and ensure compliance with all relevant federal, state, and local regulations pertaining to healthcare, non-profit organizations, and birth center operations.
  • Maintain accurate and up-to-date records, reports, and documentation.
  • Ensure maximum resource utilization, budget management, and maintenance of the organization in a positive financial position.
  • Ensure the organization’s financial stability and sustainability by maintaining healthy cash flow and adequate reserves.
  • Analyze financial data, identify trends, and make informed recommendations for financial growth.
  • Represent Birth Detroit in meetings with funders, policy makers and payors to support sustainability of the Birth Detroit model of care.

Community Engagement and Partnerships

  • Present and promote the organization and its mission, programs, partners, and members in a consistently values and vision aligned manner.
  • Represent Birth Detroit publicly in the media, at events, conferences, and partnership meetings.
  • Represent Birth Detroit in the community and build strong relationships with stakeholders, including healthcare providers, community organizations, donors, and supporters.
  • Ensure high visibility to prospects and the public, and build interest in engaged philanthropy.
  • Contribute to local state and national advocacy efforts to improve access to and reimbursement for community based midwifery care and birth centers.


The Chief Administrative Officer (CAO) will be thoroughly committed to Birth Detroit’s mission and vision, and will possess the following:

  • Bachelor's degree in healthcare administration, business management, public health, or a related field (Master's degree preferred).
  • Five or more years of senior management experience preferably at a nonprofit, foundation, government, or healthcare setting related to maternal and child health.
  • Strong understanding of birth center or other healthcare organization operations and regulations, and nonprofit governance.
  • Demonstrated experience in financial management, budgeting, and fundraising.
  • Excellent leadership, communication, and interpersonal skills.
  • Proficiency in using technology and administrative systems.
  • Excellence in organizational management with the ability to share leadership, coach staff teams, manage, and develop high-performance teams.
  • Ability to work effectively in collaboration and solidarity with Black, Indigenous, and people of color communities, healthcare providers, and birth workers across credentials, and diverse community stakeholders.
  • Passion, idealism, integrity, positive attitude, mission-driven, and self-directed approach to leadership.
  • Commitment to Birth Detroit's mission and values of midwifing safe, quality, loving care through pregnancy, birth and beyond.

The ideal candidate also possesses a compelling combination of some of the following:

  • Demonstrated philanthropic and fundraising success.
  • Previous birth center experience.
  • Knowledge of healthcare team management, coupled with a deep desire to re-imagine and actively transform away from oppressive organizational systems and practices.
  • Understanding of the role of Black-led organizations in birth justice and a personal commitment to racial justice, equity, liberation.
  • Experience with integrated financing and developing diverse revenue streams.
  • Lived experience belonging to communities most impacted by structural inequity.
  • Fluency or proficiency in a second language (e.g. Spanish, Arabic).


Full-time salary is $156,000 commensurate with scale and scope of growing organization and candidate skills and experience. A comprehensive benefits package is provided, including 100% employer-paid health, dental, vision. This position will work primarily onsite in the Birth Center with the opportunity to work remotely for administrative functions.


Interested candidates should submit a resume and cover letter detailing their qualifications and alignment with Birth Detroit's mission and values. Applications will be reviewed on a rolling basis until the position is filled.


  • Prolonged periods sitting at a desk and working on a computer as well as travel.
  • Must be able to lift up to 15 pounds at a time.

Equal Opportunity Employment

Birth Detroit is an equal opportunity employer and does not discriminate based on Race, Color, Religion, Sex, National Origin, Age, Height, Weight, Familial or Marital Status. Birth Detroit strongly encourages people directly impacted by inequity in maternal and child health, people of color, people with disabilities, and LGBTQ+ people to seek employment opportunities with us.

Values Statement

The mission of Birth Detroit is to midwife safe, quality, loving care through pregnancy, birth, and beyond. We dream of a world where birth is safe, sacred, loving and celebrated for everyone. Birth Detroit’s core values are safety, love, trust and justice. Safety is the foundation of Birth Detroit. We know birth center care improves outcomes and enhances the birth experience. All families should have access to a full range of safe birth options (birth center, home, and hospital). Love is the spirit of Birth Detroit. We lead with love. Our care for families is grounded in dignity, respect and a belief in the inherent value of all people. Trust is the heart of Birth Detroit. We listen to and believe our families and understand cultivating trust is essential so families can thrive. Justice is the root of Birth Detroit. We lift up reproductive justice, which is defined by SisterSong as “the human right to maintain personal bodily autonomy, have children, not have children, and parent the children we have in safe and sustainable communities.”