Executive Assistant to Chief Executive Officer

Executive Assistant to the Chief Executive Officer

Principium Psychiatry — New York, NY (Grand Central)

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: Immediate

ABOUT PRINCIPIUM PSYCHIATRY

Principium 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 integrity

WHAT 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 ownership

WHAT THIS ROLE OFFERS

Direct, 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.

ADDITIONAL DETAILS

• This role does not support visa sponsorship now or in the future

• Reliable daily commute to our Grand Central office and consistent availability during business hours are required

HOW TO APPLY

Submit your resume with a brief note — a few paragraphs is plenty — covering:

1. The executive you have supported most closely, and what you owned on their behalf

2. The most rigorous or high-performance environment you have worked in: the expectations, pace, and standards

3. An example of how you prevented something from slipping through the cracks

4. How you prefer to receive direction from an executive you support

Applications without a note will receive lower priority. Principium Psychiatry is an equal opportunity employer.