Clinical Co-Directors, Neighborhood Birth Center (2 Positions)

Neighborhood Birth Center (NBC) seeks two qualified midwives to collaborate on the launch of clinical operations for a community birth center in Boston, MA. NBC aims to build a co-directorship model whereby two Clinical Directors share power, leadership, and vision for the organization with the Executive Director. The Clinical Directors will work to develop the clinical practice of a new freestanding, full-spectrum birth center. They will join the Executive Director, Associate Director (a CNM), and Board of Directors to support all aspects of planning until doors open in fall 2027. From the – time of hire until doors open, these leaders will help restructure the roles and agree on an equitable division of labor before launching clinical operations. This is a unique opportunity to share in the experience and learn about the many dimensions of standing up a nonprofit community birth center, while collaboratively building a flexible and supportive culture that values integrity and believes work should be both fun and collaborative. These roles bridge the next year of planning and the launch of clinical operations (Fall 2027 onwards). Applicants may apply solo or in established pairs.

About The Organization 

Neighborhood Birth Center (NBC) aims to advance health equity and reproductive justice through the reintegration of community-based midwifery. Everyone deserves to have a safe and transformative birth experience where they feel a sense of agency and are fully supported in their power. To this end, we are building power with Black, Brown, LGBTQ+, and other marginalized people to design and build a community birth center — a place where this is not only possible but normal. NBC will support people’s reproductive and sexual care through every stage of life, including a full GYN clinic, family planning, abortion care, menopause care, and gender affirming care. NBC has been in development for years, with major achievements in midwifery policy and birth center design. The Clinical Directors will be oriented to refine and deepen work already in place, including clinical business model, transfer planning, and reimbursement strategy.

As an organization committed to liberation, we practice interrupting oppressive dominant culture norms and honor the wisdom of our bodies as we experiment to create a healthy pace and work culture.We are actively working to be radically inclusive and explicitly invite applicants to share access needs they may have in fulfilling this position. You can learn more about our organization at www.neighborhoodbirthcenter.org. 

• Status: Full-time

• Location: Boston-based, mostly work from home, with team gatherings, meetings, events, and presentations in and around Greater Boston, through summer 2027 or until the Roxbury facility is built. 

• Salary: $150,000 annually, with comprehensive benefits and generous professional development and licensure allowance. 

About the work 

During the planning phase, the Clinical Directors will share responsibility for the following duties:  

• Build and lead the inaugural clinical team

• Expand on relationships and referral systems with the medical community to enhance care and assure safety 

• Support strategies of the organization and the MA Chapter of the American Association of Birth Centers (AABC) to advance related policies and practices that ensure equity, safety, and sustainability 

• Build the community’s trust in the midwifery model of care and the clinical excellence and superior experiences of the birth center model

• Serve as a community liaison by providing education about midwifery and birth center care to the community through workshops and events, and participate in policy and legislative advocacy to advance equitable access to midwifery

• Design clinical services, including: 

  • Fully develop organization of care of the pregnant and postpartum client and newborn in accordance with the organization’s goals and consistent with guidelines from the Commission for the Accreditation of Birth Centers (CABC ) and MA Department of Public Health (DPH)regulations

  • Explore and establish or plan for family planning and gynecological care

  • Support the planning of wraparound services, including breast/chestfeeding, doula, and childbirth education services

  • Develop clinical workflow, including call schedule and practice management systems

  • Develop systems related to clinical care in accordance with AABC/CABC guidelines, MA DPH regulations, OSHA, and HIPAA

  • Establish Electronic medical records and billing systems

  • Establish data collection and quality improvement systems 

  • Develop Emergency transfer policies and drills 

• Assist other aspects of organizational development, including financial systems, grant writing and fundraising, public relations, and program evaluation 

• In addition, critical relationship-building time will be prioritized in the planning phase (prior to doors open) to establish strong working agreements between Co-Directors and the Executive Director, as well as the staff and board, for role clarity, decision-making, conflict management, and supervision of the staff team

Once open for clinical care (estimated Fall 2027) , the Co-Directors will share leadership of the clinical practice: 

• Manage and evaluate the operations, programs, and resources of NBC to assure the safe and appropriate delivery of patient care and ensure that all activities are conducted in compliance with organizational values, professional standards, internal policies/standards, and procedures

• Conduct regular quality measurements based on national obstetrics core quality measures and measurements set internally to evaluate services provided by NBC

• Assess, manage, and evaluate the work of all clinical team members in accordance with position requirements

• Identify and support the day-to-day clinical team needs and their ability to provide safe and culturally reverent patient care

• Develop systems that support the education of clinical staff and students at the birth center

Required skills

• Midwifery licensure with prescriptive authority, where applicable

  • Currently, MA only licenses CNMs, but we expect to begin licensing CPMs later in 2026. We strongly encourage both CNMs and CPMs to apply

  • CPMs who meet MA licensure requirements must have completed a MEAC-accredited program or received a NARM midwifery bridge certificate

• 5 years of clinical experience, at least two years in a community birth setting

  • For qualified and committed candidates who do not have substantial out-of-hospital birth experience, we may provide additional clinical training and mentorship in community birth 

• Explicit commitment to the midwifery model of care and reproductive justice 

• Leadership experience in a midwifery or health-related clinical practice

• Managerial experience including hiring, training, and overseeing clinical staff

Desired skills

We don’t expect anyone to bring all of the following skills or to carry this work alone. We seek Co-Directors who will complement each other in experience, skills, and excitement for the work. Successful candidates will possess a compelling combination of some of the following (and the self-awareness and skill to leverage existing resources, ask for help where they lack experience, and openness to learn and grow): 

• Commitment to working to interrupt structural and organizational inequity and striving to advance racial justice and liberation – this includes self-awareness of the intersections of privilege and oppression in one's own identity

• Lived experience belonging to communities most impacted by structural inequity

• Experience working with a clinical operating budget 

• Experience with creating, updating, and interpreting clinical guidelines

• Experience with creating and updating continuous quality improvement programs

• Experience managing complex projects and competing priorities while maintaining high standards of quality and responsiveness 

• Dedication to working with a collaborative team representing executive leadership, clinical, and administrative divisions

• Commitment to achieving goals through strong project management, facilitation, communication, and administrative and logistics leadership 

• Commitment to building a team culture of accountability, inclusion, and care

• Ability to work independently and to be emergent and adaptive to changes in routines and expectations

• Experience in community organizing or movement building

• Comfort representing Neighborhood Birth Center among all stakeholders, including clients, families, other providers, hospitals, and community members

• Understanding of the contexts of birth justice and reproductive justice movements, and a willingness to continue to learn 

• Fluency or proficiency in a second language 

How to apply 

Send an email explaining your interest and alignment with the position and a resume to info@neighborhoodbirthcenter.org with the subject line: Clinical Director Application. Applicants applying in pairs can send their letters jointly or separately. If separately, please make sure to name your application partner. The position will remain open until filled, with priority given to those who apply before April 10, 2026.

Equal Opportunity Employment 

NBC, a fiscally sponsored project of Resist, Inc., is an Equal Opportunity Employer. We strongly encourage people directly impacted by structural inequity, including people of color, people with disabilities, and LGBTQIA+ folks, to seek employment opportunities with us. We do not conduct criminal background checks on candidates. We explicitly honor accommodations and accessibility needs and invite applicants to be direct about what access needs they may have when applying for this position.

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Posted March 13, 2026