At Care ADHD, we’re improving access to high-quality neurodevelopmental services. We’re client-centred and outcomes-focused, with a strong emphasis on operational excellence: clear ways of working, consistent use of systems, and teams who know what “good” looks like.
We’re only two years old - but in that time we’ve grown significantly, achieved remarkable scale while maintaining gold standard clinical care, and built a service that’s changing the lives of thousands of people every single month.
The need is very real. The positive impact we have is immediate. And we’re just getting started.
As we continue to scale, the effectiveness of our senior leaders matters more than ever. That means surrounding them with people who do more than keep things organised - people with judgement, discretion, and the ability to make a senior leader materially more effective through strong coordination, follow-through, and high-quality support.
We’re hiring a Senior Executive Assistant / Business Manager to the COO — a high-trust, high-judgement role supporting one of the most operationally central executives in the business.
This is not a traditional EA role. We’re looking for someone who combines outstanding executive support instincts with strong coordination ability, excellent written communication, sound judgement, and the confidence to operate credibly in a senior leadership environment.
You’ll help the COO’s office run with structure, clarity and momentum. That means more than managing time well. It means ensuring the right information reaches the right people, follow-through doesn’t get lost, emerging issues are surfaced early, and the COO is consistently well prepared to lead across a complex and fast-moving part of the business.
You’ll attend internal meetings on the COO’s behalf where appropriate, coordinate actions and follow-through across teams, prepare high-quality draft papers and presentations, and provide practical support on projects and priorities that need disciplined execution.
This role will suit someone who is highly capable, highly organised, emotionally intelligent, and quietly formidable: someone who creates confidence around them through judgement, reliability, polish, and consistent delivery.
Act as a credible coordination point across the COO’s office.
You’ll work closely with the COO’s direct reports, their teams, and executive support colleagues to help ensure the COO’s office operates with structure, clarity and momentum. You’ll coordinate information, follow up on deliverables on the COO’s behalf, and help make sure the right people have the right information at the right time.
Help keep priorities moving across a complex part of the business.
You’ll identify where actions, decisions or dependencies are delayed, and take appropriate steps to progress, coordinate or escalate them. You’ll help ensure follow-through is visible and organised rather than informal or fragile, and that important issues are surfaced early.
Represent the COO internally where appropriate.
You’ll attend internal meetings on the COO’s behalf when useful, capture decisions, actions and risks accurately, and provide clear written or verbal readouts afterwards. You’ll know the difference between representing, coordinating and deciding — and will exercise excellent judgement within that boundary.
Provide high-quality drafting and decision support.
You’ll create polished first drafts of presentations, papers, briefings, updates and executive communications. You’ll be comfortable taking rough direction, partial notes or a loose steer and shaping them into something coherent, well structured and genuinely useful. You’ll also carry out research and basic analysis using operational reports, dashboards and internal information to support the COO’s decision-making.
Be a trusted extension of the COO’s office.
You’ll manage a complex diary, triage competing demands, protect time for what matters most, and ensure the COO is consistently well prepared. You’ll coordinate involvement in recurring leadership meetings and business priorities, making sure agendas, pre-reads and supporting materials are in place and that actions are followed through.
Provide practical operational leverage.
You’ll take responsibility for defined coordination tasks and support activity that helps work move forward. That may include setting up SharePoint sites, organising documentation, maintaining trackers, coordinating inputs, or putting structure around cross-functional work that needs to stay on course.
Operate with discretion in a regulated setting.
You’ll handle commercially sensitive, confidential and occasionally special category information with maturity, judgement and absolute professionalism. You’ll understand when to act independently, when to follow up firmly, and when escalation is required.
- Significant experience as an Executive Assistant or Senior Executive Assistant supporting a C-suite or equivalent senior leader
- A strong track record of managing a complex executive environment with judgement, discretion and excellent prioritisation
- Experience providing senior executive support that goes beyond diary and inbox management, including coordination across teams, action follow-through, drafting materials, and supporting operational execution
- Excellent written communication skills, with the ability to produce high-quality draft presentations, papers, updates and senior correspondence
- Confidence attending internal meetings, capturing what matters, and producing concise, reliable summaries and actions
- Strong Microsoft 365 capability, including Outlook, PowerPoint, Teams, Word and SharePoint
- The ability to create order, clarity and momentum across multiple moving priorities
- High emotional intelligence and strong stakeholder instincts, including confidence working with senior leaders and their teams
- Impeccable attention to detail and consistently high standards
- A calm, self-sufficient and dependable approach in a fast-paced environment
- The judgement and professionalism to handle highly sensitive information appropriately
- Experience supporting a COO or equivalent operational executive
- Experience in a high-growth, scale-up or technology-enabled business
- Experience in healthcare, clinical services or another regulated environment
- Familiarity with executive or board-level papers and documentation
- Experience supporting cross-functional projects or workstreams
- Confidence setting up and maintaining practical project infrastructure, including SharePoint sites, shared documentation and trackers
- You’re looking for a classic EA role centred mainly on diary, travel and inbox support
- You prefer clearly bounded administrative work over a broader, more judgement-led support role
- You’re not comfortable producing polished written materials or building a strong first draft from limited direction
- You find fast-moving, high-accountability environments unsettling rather than energising
- You want formal authority over people or decisions, rather than influence through trust, credibility and follow-through
- Internal stakeholders experience the Senior EA / Business Manager as a credible, organised and highly dependable coordination point across the COO’s office.
- The COO is consistently well supported, well briefed and able to focus more of their time on high-value leadership work.
- Actions, dependencies and key follow-ups across the COO’s areas are visible and progressed, with meetings well prepared, actions tracked reliably, and fewer important items missed or delayed.
- Draft papers, presentations and communications are being produced to a high standard, making executive output faster and more effective.
- Project spaces, trackers and shared materials are set up properly and maintained well.
- Competitive salary of up to £60,000
- Based at our Canary Wharf office, with perks like free barista coffee and craft beer on tap, and community socials throughout the week
- 33 days holiday (includes UK public holidays)
- A paid day off on your birthday
- £500 home office setup stipend
- Office equipment when you join
- Pension contribution
- Team get-togethers
- The opportunity to work closely with a senior executive in one of the UK’s most ambitious HealthTech scale-ups - in a role where quality, judgement and execution will genuinely be noticed
- A talent call with one of our Talent Acquisition Specialists
- An interview with the hiring manager
- A skills-based assessment
- Final interview
- Offer
Studies show that men apply for roles when they meet around 60% of the qualifications, whereas women and other marginalised groups often apply if they meet every requirement. If you believe you’d be a great fit but don’t meet every single criteria, we encourage you to apply.
At Care ADHD, we’re committed to building a diverse and inclusive environment. We encourage applications from candidates of all backgrounds, especially those from historically marginalised communities, as we work together to create a more equitable future.
At CARE ADHD, we're revolutionising private healthcare by making ADHD assessments and treatment more affordable and accessible to those who need it. Our client-centred approach, combined with lean methodology and a focus on continuous improvement, drives our commitment to excellence. We embrace an innovative mindset, encouraging rapid learning and adaptation through our 'fail fast' ethos. With ambitious plans to become the largest ADHD service provider outside the NHS within the next five years, we are committed to pushing boundaries and fostering innovation.
