Ambassador to Barbados and the Eastern Caribbean; she was confirmed by the United States Senate and served from 2004 to 2006.

In 1975 she entered the corporate sector when she became the Corporate Personnel Director for Younkers, Inc. She joined Wellmark Blue Cross and Blue Shield in 1981, and during her eighteen years with the company served as Vice President of Human Resources and as Vice President of Community Investments.

[1] In 2002, President George W. Bush appointed Kramer Chairperson of the White House Commission for Presidential Scholars, and in 2003, the President nominated her as the United States Ambassador to the Seven Island Nations of the Eastern Caribbean.

Additionally, she has served as a member of the Board of the Des Moines Club, the Greater Des Moines Chamber of Commerce, United Way of Central Iowa, the Polk County Child Care Resource Center, Brenton Bank, and Mercy Hospital.

Kramer remains active in community affairs and is currently working on a memoir of her experiences in politics.