Minimizing racial and ethnic disparities requires not only culturally competent clinicians but also leaders who create an organizational context in which cultural competence is enabled, cultivated, and reinforced. Without effective diversity leadership, even the most culturally competent clinicians will not be able to perform to their full potential. This article focuses on the role of diversity leadership in decreasing disparities in the process and outcome of care at the healthcare provider or institutional level. Given the right infrastructure, clinicians who are motivated to deliver culturally and linguistically competent care are empowered and enabled to do so. Disparities can be reduced through the focused and dedicated action of leaders and organizations that excel in the context of diversity. By engaging in specific actions to enable, cultivate, and reinforce cultural and linguistic competence, diversity leaders can do their part to reduce racial and ethnic disparities in the process and outcome of care.