Director of Executive Operations

Director of Executive OperationsRX Medical | Executive Management

Reports to:

Company Principals (Ownership) | Status:
Full-Time, Exempt |

Location:

Onsite, Oklahoma City, OKAbout RX MedicalRX Medical is an independent medical device agency with approximately $270M in annual revenue and 300 employees. As the organization continues to grow, our principals are increasingly focused on long-term strategy, acquisitions, key partnerships, and organizational growth. This role exists to maximize their effectiveness by ensuring priorities are executed, decisions are followed through, and the leadership team remains aligned.

Position Summary The Director of Executive Operations (DEO) is a newly created role serving as the operational right hand of RX Medical's principals. The DEO translates the principals' intent into action, manages the flow of information to and from the leadership team, and ensures the organization executes on its highest priorities. While the role includes executive support responsibilities, it is fundamentally a strategic business partner focused on organizational execution, cross-functional coordination, and executive effectiveness—not a traditional administrative support position.

This is a high-trust, high-autonomy role for someone who wants to make the principals more effective — not to become one.

The Director of Executive Operations holds real, delegated authority bounded by trust rather than independence; serving as a trusted extension of the principals by communicating priorities, facilitating execution, and representing their direction within clearly established guardrails. never substituting personal judgment for theirs. The role is structured at approximately 44 hours per week across four responsibility areas, with AI and automation tools (Microsoft Copilot, Power Automate, Power BI) absorbing an estimated 40% of routine data-assembly work so the DEO can focus on judgment, relationships, and execution.

Job Duties Executive Operations & Leadership Support Own the principals' priority calendar

Triage all incoming communications — route, resolve, or escalate

Track every open commitment and drive it to closure

Run the weekly leadership operating rhythm

Prepare the principals for every meeting

Intelligence & Reporting Produce the weekly performance dashboard (revenue, activity, KPIs)
Aggregate department head reports into a consolidated view Proactively flag anomalies and risks

Prepare the monthly review package

Report on strategic initiative status

People, Culture & Communications Draft internal communications in the principal’s voice

Manage recognition and milestone communications

Provide context and support for talent decisions

Serve as a confidential leadership liaison channel

Coordinate culture initiatives

Strategic Projects & Execution Lead special initiatives from definition through delivery

Bridge cross-functional coordination gaps Serve as the principals' proxy in select external meetings

Evaluate vendors and provide recommendations

Oversee implementation of key decisions post-approval

Authority & Decision Rights This role carries delegated authority within clear guardrails. The Chief of Staff may:

Make decisions consistent with the principals' stated or clearly implied intent

Communicate direction and priorities to leaders on the principals' behalf

Commit organizational time to meetings within established priorities

Approve routine operational matters specifically delegated by the principals

Serve as proxy in external meetings and partner communications

The Director of Executive Operations may not:

Set organizational strategy or make commitments not pre-authorized by the principals

Override decisions made by leaders within their own functional authority

Make financial commitments beyond a defined threshold without principal approval

Represent the principals' position on matters not previously discussed

Use proxy authority to pursue personal agendas or independent judgment

What We're Looking For Ego-Free Executor — driven by outcomes rather than credit; comfortable being the most informed person in the room and the least prominent

Trusted Confidant — handles sensitive information with discretion and…