Executive Assistant

Sierra Meadows & Ascend Behavioral Health • Fresno, CA

4d

About The Position

This isn't a scheduling job. It's a strategy job. We're looking for an Executive Assistant who makes two busy executives more effective — every single day. Sierra Meadows Behavioral Health is a mission-driven organization delivering compassionate behavioral health care across multiple outpatient and residential programs in California's Central Valley. We're growing — and our CEO and COO need a high-caliber Executive Assistant who can keep up with the pace, manage complexity, and operate as a true partner to executive leadership. This is a rare opportunity to work directly alongside the top leadership of a meaningful, expanding healthcare organization. If you thrive in a fast-paced environment, love making order out of complexity, and bring genuine professional polish to everything you do — we'd like to meet you.

Requirements

• 3+ years as an Executive Assistant or in a senior support role to C-suite executives; we care more about what you can do than how long you’ve done it.
• You've managed executive email before — and you know how to draft a reply that sounds like your executive, not yourself.
• Experience supporting strategic projects, not just scheduling.
• Exceptional written communication — polished, professional, and precise.
• Strong business judgment; you can make the right call without being asked.
• High proficiency in Microsoft Office Suite; project management tools are a plus.
• Absolute discretion. This is non-negotiable.
• Calm under pressure; you don't rattle when priorities shift.
• Bachelor's degree required.
• Valid Driver's License / Clean Driving Record

Nice To Haves

• Healthcare or behavioral health experience preferred; not required.

Responsibilities

• Own Executive Communications: Manage and respond to email on behalf of the CEO and COO — with good judgment on what gets escalated, delegated, or handled. Draft high-level correspondence, internal announcements, partner communications, and executive team materials. Prepare briefing documents, talking points, and background materials before key meetings and engagements. Be the professional voice of the executive office in all written and verbal interactions.
• Manage Calendars & Travel: Own the calendars of both executives — strategically, not just logistically. Protect their time. Coordinate complex scheduling across internal leaders, external partners, and the executive team. Arrange executive travel: flights, hotels, ground transportation, and detailed itineraries. Anticipate conflicts, resolve them proactively, and keep executives on time and prepared.
• Lead & Support Strategic Projects: Take ownership of special projects assigned by the CEO and COO — build timelines, coordinate stakeholders, track milestones, and report progress. Conduct research and synthesize findings into clear, actionable summaries for executive decision-making. Prepare materials for executive team meetings, strategic planning sessions, and partner engagements. Monitor action items and commitments from executive meetings; make sure nothing falls through the cracks.
• Facilitate Meetings & Leadership Alignment: Plan and facilitate executive meetings — prepare agendas, capture decisions, and distribute follow-up. Ensure the CEO and COO are fully prepared for every engagement. Manage cross-departmental information flow and communication as directed.
• Stakeholder & Relationship Management: Build and maintain professional relationships with internal leaders, the HR Director, and external partners on behalf of the executive office. Represent the CEO and COO with professionalism and sound judgment in all interactions. Coordinate with Directors, Program Managers, and external stakeholders as a trusted proxy for leadership.
• Handle Confidential & Sensitive Matters: Manage sensitive personnel, financial, legal, and strategic information with absolute discretion. Assist with sensitive internal matters including HR actions, legal coordination, and other confidential executive matters as directed. Maintain organized, secure filing systems for executive-level records and correspondence.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive