Alexander is director of the economic governance program at the Heinrich Böll Foundation of North America. Since the mid-1980s she has been engaged in research, education and advocacy relating to global institutions, especially the International Monetary Fund and World Bank. Her work highlights the ways in which the institutions have affected social justice, environmental protection, economic performance, and democratic practices in borrowing countries. She has particular expertise and interest in essential public services, including water, and previously worked with Citizens Network on Essential Services. Recently, she has consulted to the U.S. House Financial Services Committee, the International Labor Organization, and the Bank Information Center. From 1997-2007, Alexander founded and directed the Globalization Challenge Initiative and previously worked as director of government relations for Bread for the World. She has degrees from Duke and Harvard Universities.