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Florida Birth-Related Neurological Injury Compensation Association

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.

Nov 09, 2026
Full time
Executive Director
Florida Birth-Related Neurological Injury Compensation Association Tallahassee, FL
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...