Dr. Fox, a pianist and musicologist, has served as President and Professor of Music at Mary Baldwin University since July 2003. Under her leadership, Mary Baldwin has become a distinctive small coeducational university that maintains its historic commitment to the Mary Baldwin College for Women. MBU cultivates innovation and academic excellence through a constellation of signature programs.

Fox led the establishment of the Spencer Center for Civic and Global Engagement to foster inclusive community and civic and global citizenship. Over her tenure, the University has established 25 new and enhanced academic programs, including the Murphy Deming College of Health Sciences, which opened in 2014 on a new campus in the heart of Augusta County's thriving Blue Ridge Life Sciences corridor and offers Mary Baldwin's first doctoral degrees.

In 2017, Mary Baldwin University completed its $80 million comprehensive fundraising campaign. Fox was instrumental in bringing the Heifetz International Music Institute to Staunton in 2012, with a new home on the Mary Baldwin campus for six weeks each summer.

Active nationally in higher education and a devoted leader in the Staunton/Augusta community, Dr. Fox was named the 2011 Citizen of the Year by the Greater Augusta Regional Chamber of Commerce. She is a past member of the board of directors of the National Association of Independent Colleges and Universities (NAICU) and of the American Council on Education (ACE); past chair of the Council of Independent Colleges in Virginia (CICV) and of the Virginia Foundation of Independent Colleges (VFIC); trustee of the Frontier Culture Museum, of the American Shakespeare Center; and a member of Rotary International.

Prior to her tenure at Mary Baldwin University, Dr. Fox served as a Professor of Music, Dean and Assistant Vice President for Strategic Planning at Miami University in Oxford, Ohio for 20 years. She earned her Ph.D. in musicology from the University of Cincinnati, College Conservatory of Music. Dr. Fox has published 14 articles and books and presented scholarly papers around the world.