In 2004 he graduated from Duke University in Durham, North Carolina, US, with a Master of Arts in International Development Policy, Public Finances and Management.

During this period (2004–2007), Georgia improved from 132nd place to 18th in the ranking of “Ease of Doing Business” by the World Bank.

In December 2007 Aleksishvili became chairman of the board, Policy and Management Consulting Group (PMCG).

From February–December 2008 he was on the board of Kala Capital LLC, an investment company, where supervised the establishment of Progress Bank JSC.

from September 2007-March 2008, he supervised monetary and financial policy implementation as a board member of National Bank of Georgia.