The Florida Birth-Related Neurological Injury Compensation Association (NICA) is seeking an exceptional leader who is energized by our mission and excited to work with remarkable families, an engaged Board of Directors, and a dedicated team. This is a rare opportunity to lead a unique organization with a significant public purpose and to make a meaningful difference in the lives of families every day.
Position Overview
The Executive Director serves as NICA's chief executive officer and reports directly to its Board of Directors, whose members are appointed by Florida's Chief Financial Officer.
The Executive Director is responsible for the strategic leadership, day-to-day administration, and overall performance of the organization. The role combines the responsibilities of leading a human services organization, managing a complex regulated program, stewarding substantial financial assets, and maintaining the confidence of families, policymakers, healthcare providers, and other stakeholders.
The successful candidate will bring strong executive leadership, sound judgment, financial and operational acumen, and an ability to navigate complex legal, regulatory, and public-policy issues. Equally important is a genuine commitment to the families NICA serves and an understanding that decisions made by the organization can have a significant impact on participants and their families throughout their lives.
The Executive Director ensures that NICA's policies, operations, programs, and services reflect an understanding of the lifelong impact of birth-related neurological injury and that families are treated with respect, compassion, responsiveness, and transparency.
This position is exempt under the Fair Labor Standards Act (FLSA).
Position Details
Location: Tallahassee, Fl. This is an in-person leadership position based at NICA’s office in Tallahassee; this is not a remote position.
Compensation: The expected salary range is $175,000-$200,000, commensurate with experience.
Benefits: NICA offers a comprehensive benefit package including 100% employer-paid employee health insurance, with subsidized coverage available for eligible dependents, and employer 401(k) contributions equal to 15% of compensation.
Key Responsibilities
Leadership and Organizational Stewardship
Board Governance
Financial Management and Long-Term Sustainability
Programs and Services
People and Organizational Development
Operations and Technology
Legal and Regulatory Coordination
External Relations and Public Trust
Qualifications
NICA is seeking an accomplished executive who combines strong organizational leadership with sound judgment, financial sophistication, and a genuine commitment to serving individuals with significant lifelong needs and their families.
Successful candidates should demonstrate:
Experience in a nonprofit, governmental, healthcare, insurance, human services, or other highly regulated environment is preferred. Experience leading in diverse and inclusive environments is also valued.
Application Period
This position will remain open until filled.
How to Apply
Interested candidates should submit a cover letter and résumé to the current Executive Director at mjaacks@nica.com.
The cover letter should describe the candidate's interest in NICA's mission and how the candidate's leadership experience prepares them to lead an organization with significant responsibilities to participants, families, and the State of Florida.
Equal Opportunity Employer
NICA is an Equal Opportunity Employer and does not discriminate in hiring or employment practices based on race, religion, sex, gender, age, sexual orientation, marital or family status, national origin, disability unrelated to the requirements of the position, veteran status, or any other status protected by applicable law.
Please note that applications and materials submitted for this position are public records and may be released in response to a public records request unless the information is exempt or confidential under Florida law.
The Florida Birth-Related Neurological Injury Compensation Association (NICA) was created by the Florida Legislature in 1988 in response to a growing medical malpractice insurance crisis that threatened access to obstetrical care. As malpractice costs increased, physicians faced growing disincentives to treat high-risk patients and practice in high-risk specialties, including obstetrics.
NICA provides a no-fault alternative to medical malpractice litigation for certain catastrophic birth-related neurological injuries. In doing so, NICA has helped stabilize Florida's medical malpractice environment while providing eligible families with a source of lifetime support and care.
At its core, however, NICA is a human services organization. Florida law requires the program to be administered in a manner that promotes and protects the health and best interests of participants with birth-related neurological injuries. That obligation guides NICA's work and its relationship with the families it serves.
NICA is funded primarily through assessments paid by participating physicians and hospitals and must maintain the financial resources necessary to meet its obligations to participants throughout their lifetimes. NICA currently manages approximately $1.6 billion in assets against approximately $1.7 billion in estimated lifetime liabilities, with more than $70 million in reimbursements paid each year. Maintaining NICA's long-term financial strength while delivering responsive, high-quality services to families is central to the organization's mission.