Home For Employers For Candidates Gaming About Leadership
Executive boardroom

Boutique executive search
for complex organizations

Executive
Search,
Redefined.

Specialist recruiting across behavioral health, healthcare, and casino gaming — where operator experience meets precision placement.

Scroll to explore
Behavioral HealthHealthcareCasino GamingTribal GamingC-Suite PlacementDirector-Level SearchExecutive AdvisoryOperator Experience Behavioral HealthHealthcareCasino GamingTribal GamingC-Suite PlacementDirector-Level SearchExecutive AdvisoryOperator Experience
What We Do

Search that goes
beyond the résumé.

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.

Industry Depth

12 years as an operator across behavioral health, healthcare, and gaming — not just a recruiter looking in from outside.

Precision Matching

We evaluate for leadership potential, cultural alignment, and long-term retention — not just credential checklists.

C-Suite & Director

Specialized in placing senior leaders — CEOs, CNOs, GMs, VPs — who move organizations forward.

Retained Quality

Every search is a partnership — full transparency, structured timelines, and unwavering commitment to your outcome.

Our Sectors

Where we specialize

Behavioral Health
Behavioral Health
Mental Health & Substance Use Leadership

Placing CEOs, CMOs, CNOs, and program directors across residential, outpatient, and integrated care settings.

Healthcare
Healthcare
Hospital & Health System Executives

C-suite and VP-level placements for hospitals, physician groups, managed care, and specialty practices.

Casino Gaming
Casino Gaming
Commercial & Tribal Gaming Leadership

GMs, VPs of Operations, Marketing, Finance, and HR across commercial and tribal casino properties nationwide.

Advisory
Advisory
Talent Strategy & Organizational Design

Beyond placement: succession planning, compensation benchmarking, and talent advisory for growing organizations.

Our Process

How we
find the right fit

A structured, transparent search process built on deep industry knowledge and genuine partnership — from intake to onboarding.

01
Discovery & Intake

We learn your organization, culture, and what success looks like before writing a single job description.

02
Market Mapping

Active sourcing across our deep network — not just job boards. We find candidates who aren't looking yet.

03
Assessment & Vetting

Behavioral interviews, reference checks, and cultural fit analysis. You only meet candidates we genuinely believe in.

04
Placement & Support

Offer negotiation, onboarding guidance, and post-placement check-ins to ensure lasting success.

Three sectors,
deep expertise

We don't try to be everything to everyone. Our focus on three verticals means you get a recruiter who genuinely knows your world.

01
Behavioral Health

From single-site treatment centers to multi-state systems, we place leaders who understand both the clinical and business sides of care delivery.

ResidentialOutpatientIntegrated CareSUD Programs
Learn More
02
Healthcare

Acute care, specialty practices, and health systems — we recruit senior leaders who navigate regulatory complexity while driving operational excellence.

Hospital SystemsPhysician GroupsManaged CareLong-Term Care
Learn More
03
Casino Gaming

Commercial and tribal casino properties require leaders who move fast and understand the intersection of hospitality, entertainment, and gaming operations.

CommercialTribal GamingResort OperationsOnline Gaming
Gaming Division
Ready to find
your next leader?
Employers
For Employers

We find leaders
who last.

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.

12+
Years Experience
3
Sectors
100%
Dedicated Attention

How We Work With Employers

01

Discovery Call

We start by understanding your organization, the role, your culture, and what failure looks like — before we ever start sourcing.

02

Active Search

We leverage a deep industry network built over 12 years of operating in your sectors — not just a database query.

03

Curated Shortlist

You receive a small, high-quality candidate slate with our assessment notes — no résumé dumps, no guesswork.

Let’s Connect

Tell us about the role and your organization. We'll follow up within one business day.

Candidates
For Candidates

Your next role
starts here.

We represent senior-level candidates across behavioral health, healthcare, and gaming. Submit your background and we'll reach out when a relevant opportunity arises.

C-Suite
to Director Level
3
Sectors
National
Reach

Submit Your Background

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.

Casino Gaming
Gaming Division

Casino &
Gaming
Search.

Specialized executive search for commercial and tribal gaming properties — placing GMs, VPs, and department heads who know the floor and the boardroom.

12+
Years Experience
Both
Commercial & Tribal
National
Search Reach
Roles We Place

Gaming leadership,
every discipline

Operations
General Manager & AGM

Property-level leadership for commercial and tribal casino operations from boutique to destination resort scale.

Finance
CFO & VP Finance

Financial oversight, compliance, and strategic planning leaders for regulated gaming environments.

Marketing
CMO & VP Marketing

Brand, loyalty, digital, and player development executives who understand gaming's unique customer dynamics.

Human Resources
VP HR & CHRO

HR leadership for large, complex workforces spanning union environments, hospitality, and 24/7 operations.

Technology
CIO & VP Technology

Systems, cybersecurity, and gaming technology leaders who balance innovation with regulatory compliance.

Commercial & Tribal Gaming

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.

About Meramec
About the Firm

Built by an
operator,
for operators.

Meramec Advisory Partners was founded on a simple premise: the best executive search happens when the recruiter has lived inside the industry they serve.

12+
Years Operating
Boutique
By Design
90-Day
Guarantee

Our Commitments

Sector Expertise

We only take searches in industries where we have direct operational experience — behavioral health, healthcare, and casino gaming.

Transparent Process

You'll always know where the search stands. Clear timelines, regular updates, and honest feedback at every stage.

Placement Guarantee

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.

Ready to work with
someone who gets it?
Ashley Halker
Leadership
Ashley
Halker
Founder & Principal · Meramec Advisory Partners
12 years in behavioral health, healthcare & gaming operations C-suite and director-level placements nationwide St. Louis, Missouri — national reach
Ashley Halker
Ashley Halker Founder & Principal

St. Louis, MO · meramecpartners.com

An operator who became a recruiter.

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.

Education
Master of Business AdministrationEmphasis in Healthcare Management
Bachelor of ScienceHealthcare Administration
Areas of Focus
Behavioral HealthResidential, outpatient & integrated care
HealthcareHospitals, specialty & managed care
Casino GamingCommercial & tribal properties
Ready to work with
someone who listens?