The Senior Executive Assistant is a trusted member of the Executive Office who enables the Chief Operating Officer for Keck Medicine of USC and Chief Executive Officer for Keck Medical Center to lead effectively across a complex academic health enterprise. Working in close partnership with the Chief of Staff, this role manages and executes the flow of time, information, decisions, and relationships surrounding the executive office. The Senior Executive Assistant anticipates needs, exercises sound judgment on behalf of executive leadership, and ensures that priorities move from discussion to disciplined follow-through. Additionally, this position operates with a high degree of independence, discretion, and institutional awareness and serves as a primary point of coordination among health system and medical center leaders, medical staff and faculty leadership, university partners, board and committee participants, community and external stakeholders, and other executive offices.
Essential Duties
Executive partnership and priority management: Serve as the principal partner to the COO and CEO and provide high-level support to the Chief of Staff, aligning daily activity with enterprise priorities and commitments. Manage a highly complex, dynamic executive calendar as a strategic resource; assess urgency, purpose, participants, preparation needs, travel time, and downstream consequences when accepting, sequencing, or redirecting requests. Anticipate conflicts and emerging needs, recommend solutions, and independently resolve routine issues while escalating matters that require executive or Chief of Staff judgment. Protect executive focus and access while maintaining a responsive, service-oriented experience for internal and external stakeholders. Maintain continuity during rapidly changing operational circumstances, including time-sensitive clinical, regulatory, workforce, or reputational matters.
Executive communications and decision support: Review, triage, and track incoming requests and correspondence; identify required action, gather context, route appropriately, and ensure timely closure. Prepare leaders for meetings by project managing and confirming objectives, participants, background materials, decisions required, and outstanding commitments. Capture decisions, commitments, and action items from executive meetings; maintain reliable follow-up systems and prompt accountable owners without requiring routine direction. Handle confidential and sensitive information involving strategy, operations, personnel, medical staff, legal matters, compliance, quality, patient matters, and governance with exceptional discretion.
Executive office operations and governance support: Coordinate executive leadership meetings, operating reviews, including schedules, agendas, materials, logistics, minutes when assigned, and follow-through. Establish and continuously improve executive-office workflows, protocols, records, and information-management practices to increase reliability, responsiveness, and efficiency. Coordinate complex travel, itineraries, security or protocol needs when applicable, and expense reconciliation in accordance with organizational policy. Partner with the Chief of Staff to maintain an integrated cadence of executive priorities, recurring meetings, key milestones, and institutional events. Use sound judgment to represent the Executive Office in routine interactions and to communicate decisions or direction within delegated authority.
Enterprise relationships and coordination: Coordinate / partner closely with executive assistants and administrative leaders across the enterprise to align calendars, leadership forums, protocols, and coverage; serve as a resource and model for executive-support practices. Undertake special projects for the COO and CEO or Chief of Staff that require research, coordination, discretion, and disciplined execution.
Must be able to uphold the following core capabilities: Executive Judgment:…