Executive Assistant to Chief Executive Officer

Location: East 42nd Street, New York, NY — steps from Grand Central Terminal

Schedule: Full-time, Monday–Friday, fully in-office

Compensation: $85,000–$100,000, based on experience, plus benefits Start Date: ImmediateABOUT PRINCIPIUM PSYCHIATRYPrincipium Psychiatry is a physician-led psychiatric practice with offices across the Northeast, Florida, and California. We provide advanced treatments including TMS, ketamine, Spravato, ECT, and intensive outpatient care. We are growing quickly — new locations, new clinical programs, and a leadership team operating at a high standard of precision and professionalism.

ABOUT THE ROLE: We are hiring an experienced Executive Assistant to support our CEO directly. This is the senior administrative seat in the organization and a genuine partnership role: you will be the person who knows what is happening, what is coming, and what is at risk of falling through. The CEO runs a multi-site clinical practice while also maintaining a separate forensic psychiatry practice. The calendar is dense, the stakes are real, and the information you handle is confidential. We are looking for someone who has done this before at a comparable level and wants to do it well for a long time. This is a fully in-office role. There is no remote or hybrid option. WHAT YOU WILL OWN

• The CEO's calendar as a strategic instrument — prioritizing, sequencing, protecting focus time, and making judgment calls about what gets his attention and when
• First-line triage of executive communications: reviewing inbound, flagging what matters, drafting responses, and closing loops without being asked twice
• Complex scheduling across clinicians, senior staff, external partners, vendors, and counsel, with precision and discretion
• Tracking commitments across initiatives and driving follow-through to completion — you are the reason things do not slip
• Preparing executive materials, briefing documents, and structured summaries that support operational and financial decisions
• Supporting analytical work as directed: organizing data, building spreadsheets, running scenario comparisons, tracking revenue and expense trends
• Maintaining organized systems for documents, contracts, and reference materials
• Coordinating travel and professional logistics with attention to schedule integrityWHAT WE ARE LOOKING FOR
• 5+ years supporting a senior executive, ideally a CEO, founder, or managing partner
• Experience in a structured, high-performance environment — corporate, finance, consulting, law, healthcare administration, or a comparable institution
• Bachelor's degree
• Demonstrated judgment with confidential and sensitive information; this role touches financial, legal, and personnel matters
• Excellent written communication — you will draft in the CEO's voice and correspond with his peers on his behalf
• Strong command of Microsoft 365 (Outlook, Excel, Teams) and comfort learning new systems
• A record of stability and increasing responsibility, not a series of short stops
• Comfort working independently and taking full ownershipWHAT THIS ROLE OFFERSDirect, daily access to a chief executive and visibility into how a growing healthcare company is actually run. Clearly defined responsibilities, a professional environment, and an organization where this position is treated as essential rather than overhead. No clinical or patient-facing duties.