The phrase "most top-echelon" refers to the highest level or tier of a particular group or organization. Some synonyms for this phrase include elite, uppermost, upper echelon, cream of the crop, higher-ups, and top-tier. It can also be phrased as "highest-ranking" or "most senior" to describe someone who holds a position of authority within the organization. When describing a group of people, terms like "leadership team," "executive ranks," or "top brass" may be used in place of "most top-echelon." Whatever phrasing is used, it is meant to convey the idea of a select group with a great deal of power and influence within an organization or field.