Boutique executive search
for complex organizations
Specialist recruiting across behavioral health, healthcare, and casino gaming — where operator experience meets precision placement.
Meramec Advisory Partners is a boutique executive search firm built on 12 years of direct operator experience in behavioral health, healthcare, and gaming. We don't just fill seats — we understand the nuances of your industry, your culture, and what true leadership looks like from the inside.
Every engagement is conducted with the rigor of a retained search and the personal attention your organization deserves. No handoffs, no junior recruiters — one dedicated expert at every step.
12 years as an operator across behavioral health, healthcare, and gaming — not just a recruiter looking in from outside.
We evaluate for leadership potential, cultural alignment, and long-term retention — not just credential checklists.
Specialized in placing senior leaders — CEOs, CNOs, GMs, VPs — who move organizations forward.
Every search is a partnership — full transparency, structured timelines, and unwavering commitment to your outcome.
A structured, transparent search process built on deep industry knowledge and genuine partnership — from intake to onboarding.
We learn your organization, culture, and what success looks like before writing a single job description.
Active sourcing across our deep network — not just job boards. We find candidates who aren't looking yet.
Behavioral interviews, reference checks, and cultural fit analysis. You only meet candidates we genuinely believe in.
Offer negotiation, onboarding guidance, and post-placement check-ins to ensure lasting success.
We don't try to be everything to everyone. Our focus on three verticals means you get a recruiter who genuinely knows your world.
From single-site treatment centers to multi-state systems, we place leaders who understand both the clinical and business sides of care delivery.
Acute care, specialty practices, and health systems — we recruit senior leaders who navigate regulatory complexity while driving operational excellence.
Commercial and tribal casino properties require leaders who move fast and understand the intersection of hospitality, entertainment, and gaming operations.
A retained search experience built for organizations that can't afford a bad hire. Every engagement is personal, structured, and backed by real industry knowledge.
We start by understanding your organization, the role, your culture, and what failure looks like — before we ever start sourcing.
We leverage a deep industry network built over 12 years of operating in your sectors — not just a database query.
You receive a small, high-quality candidate slate with our assessment notes — no résumé dumps, no guesswork.
Tell us about the role and your organization. We'll follow up within one business day.
We represent senior-level candidates across behavioral health, healthcare, and gaming. Submit your background and we'll reach out when a relevant opportunity arises.
We work with a select number of senior candidates at any given time. Share your profile and we'll be in touch if there's a fit.
Specialized executive search for commercial and tribal gaming properties — placing GMs, VPs, and department heads who know the floor and the boardroom.
Property-level leadership for commercial and tribal casino operations from boutique to destination resort scale.
Financial oversight, compliance, and strategic planning leaders for regulated gaming environments.
Brand, loyalty, digital, and player development executives who understand gaming's unique customer dynamics.
HR leadership for large, complex workforces spanning union environments, hospitality, and 24/7 operations.
Systems, cybersecurity, and gaming technology leaders who balance innovation with regulatory compliance.
We understand the distinct regulatory, political, and operational environments of tribal gaming and work with both commercial operators and tribal governments to find the right leadership fit.
Meramec Advisory Partners was founded on a simple premise: the best executive search happens when the recruiter has lived inside the industry they serve.
We only take searches in industries where we have direct operational experience — behavioral health, healthcare, and casino gaming.
You'll always know where the search stands. Clear timelines, regular updates, and honest feedback at every stage.
We stand behind our work. If a placed candidate doesn't work out in the first 90 days, we re-engage at no additional fee.
Ashley Halker founded Meramec Advisory Partners after more than a decade working inside the industries she now serves. Having held operational and leadership roles across behavioral health, healthcare, and casino gaming, she brings a practitioner's perspective to every search.
That background means Ashley evaluates candidates not just on credentials, but on the qualities that matter most in practice: sound judgment under pressure, the ability to build teams, and the rare combination of clinical or operational acumen with strong leadership presence.
"I started this firm because I believe the best placements happen when the recruiter has sat in the same seats as the people they're placing — and the people doing the hiring."
Meramec Advisory Partners operates as a boutique firm by design. Every search is personally led, with no junior handoffs and a commitment to genuine partnership from intake to onboarding.