Launched in 2019, a group of committed community residents and leaders spent more than two years working with JBRF to design innovative solutions that address the lack of career opportunities and less-than-ideal health outcomes among Black women living East of the River. This initiative centers the voices of those most directly affected by these issues, then amplifies, champions, and funds the grassroots, equity-focused solutions that emerge from collaborative design discussions. Participants or community members explore the current state of play, review best-practice recommendations, and incorporate lived experience into the development of racially just solutions. The goal is a future in which Black women living East of the River thrive with equitable access to opportunities, more health care services, and the economic mobility they deserve.