Alex teaches health law at the School of Professional Studies and public health leadership at the School of Public Health and is also President & CEO of New England Donor Services (NEDS), the nonprofit Organ Procurement Organization (OPO) responsible for coordinating organ donation and transplantation in the region. Alex led the creation of NEDS through the successful merger of two OPOs. NEDS has 350 employees and an operating budget of $140M serving over 200 hospitals, 14 transplant centers and a population of 15 million people in six states making it one of the 3 largest OPOs in the U.S. Since 2020, NEDS has increased organ donation in its service area by over 80%. NEDS has been named as a top 100 Female Led Business by the Boston Globe and the Commonwealth Institute for 7 years in a row (2018-2024).

Alex is a recognized thought leader on transplant policy, law and ethics having held numerous national leadership positions including Chair of the Organ Procurement and Transplantation Network (OPTN) Ethics Committee and Chair of the OPTN Policy Oversight Committee, and two appointments to the U.S. Secretary of Health and Human Services, Advisory Committee on Organ Transplantation.  Alex served on several national Boards including the OPTN, the United Network for Organ Sharing (UNOS), the American Society for Reconstructive Transplant and Donate Life America having consulted on the venture with Apple to enable donor registration through the iPhone. Alex is a frequent national speaker and has published on health law and policy topics in JAMA, New England Journal of Medicine, American Journal of Transplantation, Hastings Center Report, the Journal of Health Law and Policy and other national and international journals.  Previously, Alexandra practiced health law at the firm Ropes & Gray. Alex holds an undergraduate degree in bioethics from Brown University and a JD-MPH magna cum laude from Boston University.