The chief administrative officer (CAO) is responsible for overseeing the day-to-day operations of the county's government. These functions consist of various services to the citizens of Shelby County including:

• Approving and monitoring strategic initiatives for divisions reporting to the county mayor
• Ensuring effective and efficient delivery of county services to its citizens
• Ensuring financial transactions are in compliance with federal, state, and local regulatory agencies
• Monitoring the management and funding for the Regional Medical Center at Memphis (MED), our regional safety-net hospital
• Overseeing the preparation and approval of the county's operating and capital budgets
• Providing financial oversight and direction to maintain the county’s financial stability
• Reviewing funding to initiatives to the City of Memphis and Shelby County Schools to ensure statutory compliance