Director of Executive Operations

RX Medical | Executive Management

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

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.

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.

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

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