Director of Executive Operations

Job DetailsJob Location: Oklahoma City - Oklahoma City, OK 73114Position Type: Full TimeDirector of Executive Operations

RX Medical | Executive Management

Reports to: Company Principals (Ownership) | Status: Full-Time, Exempt | Location: Onsite, Oklahoma City, OK

About RX Medical

RX 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
Qualifications

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 never leverages proximity to leadership for personal gain
Precise Communicator — writes and speaks with clarity and economy; able to represent another leader's voice and intent accurately
Relentless Follow-Through — tracks commitments with discipline and holds people accountable constructively
Sound Judgment Under Ambiguity — knows when to act on clear intent and when to escalate for guidance
Mission-Aligned — measures personal success by how effective they make the principals, not by building an independent agenda
Exceptional emotional intelligence with the ability to navigate competing personalities, maintain confidentiality, and build trust across all levels of the organization.

Qualifications

5+ years in a DEO, Chief of Staff, executive assistant to senior leadership, management consulting, or comparable operations/strategy role with direct executive exposure
Demonstrated experience managing competing priorities across multiple stakeholders in a fast-paced environment
Strong written and verbal communication skills, including experience drafting communications on behalf of senior leaders
Working proficiency with Microsoft 365 (Copilot, Power BI, Power Automate) or comparable productivity and reporting tools
Experience with confidential or sensitive information in a discretion-critical capacity
Bachelor's degree required; MBA or equivalent experience a plus
Prior experience in medical device, healthcare distribution, or a sales-driven organization is a plus but not required

Additional Details

Competitive salary commensurate with experience, along with a comprehensive benefits package.
This is a newly created position; the successful candidate will help shape the role's processes and cadence over their first 90 days