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.
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Own the principals' priority calendar
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Triage all incoming communications — route, resolve, or escalate
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Track every open commitment and drive it to closure
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Run the weekly leadership operating rhythm
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Prepare the principals for every meeting
- Produce the weekly performance dashboard (revenue, activity, KPIs)
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Aggregate department head reports into a consolidated view
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Proactively flag anomalies and risks
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Prepare the monthly review package
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Report on strategic initiative status
- Draft internal communications in the principal’s voice
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Manage recognition and milestone communications
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Provide context and support for talent decisions
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Serve as a confidential leadership liaison channel
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Coordinate culture initiatives
- Lead special initiatives from definition through delivery
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Bridge cross-functional coordination gaps
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Serve as the principals' proxy in select external meetings
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Evaluate vendors and provide recommendations
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Oversee implementation of key decisions post-approval
This role carries delegated authority within clear guardrails. The Chief of Staff may:
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Make decisions consistent with the principals' stated or clearly implied intent
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Communicate direction and priorities to leaders on the principals' behalf
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Commit organizational time to meetings within established priorities
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Approve routine operational matters specifically delegated by the principals
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Serve as proxy in external meetings and partner communications
The Director of Executive Operations may not:
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Set organizational strategy or make commitments not pre-authorized by the principals
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Override decisions made by leaders within their own functional authority
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Make financial commitments beyond a defined threshold without principal approval
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Represent the principals' position on matters not previously discussed
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Use proxy authority to pursue personal agendas or independent judgment
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Ego-Free Executor — driven by outcomes rather than credit; comfortable being the most informed person in the room and the least prominent
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Trusted Confidant — handles sensitive information with discretion and never leverages proximity to leadership for personal gain
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Precise Communicator — writes and speaks with clarity and economy; able to represent another leader's voice and intent accurately
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Relentless Follow-Through — tracks commitments with discipline and holds people accountable constructively
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Sound Judgment Under Ambiguity — knows when to act on clear intent and when to escalate for guidance
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Mission-Aligned — measures personal success by how effective they make the principals, not by building an independent agenda
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Exceptional emotional intelligence with the ability to navigate competing personalities, maintain confidentiality, and build trust across all levels of the organization.
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5+ years in a DEO, Chief of Staff, executive assistant to senior leadership, management consulting, or comparable operations/strategy role with direct executive exposure
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Demonstrated experience managing competing priorities across multiple stakeholders in a fast-paced environment
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Strong written and verbal communication skills, including experience drafting communications on behalf of senior leaders
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Working proficiency with Microsoft 365 (Copilot, Power BI, Power Automate) or comparable productivity and reporting tools
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Experience with confidential or sensitive information in a discretion-critical capacity
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Bachelor's degree required; MBA or equivalent experience a plus
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Prior experience in medical device, healthcare distribution, or a sales-driven organization is a plus but not required
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Competitive salary commensurate with experience, along with a comprehensive benefits package.
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This is a newly created position; the successful candidate will help shape the role's processes and cadence over their first 90 days
