Joia's leadership in NMA spans nearly 20 years in the areas of membership, strategic planning, and serving on the board of trustees.
- New Orleans Medical Association President; Currently a Member-at-Large
- Louisiana Medical Association Executive Committee
- Delegate in House of Delegates for 16 years
- Region 5 Chair
- Region 5 Trustee
- Strategic Planning Co Chair
- Membership Committee Chair
- Audit Committee Chair
- Secretary of the Board of Trustees
- Fundraised for NMA every year on BOT and for local, state, Regional, and Section levels.