Alfeyev is a member of the Executive and Central Committees of the World Council of Churches, of the Presidium of ‘Faith and Order’ Commission, as well as of numerous bilateral theological dialogues. In 1998 he headed the 5-member Moscow Patriarchate delegation to the 8th WCC Assembly in Harare, and in February 2006 head the Moscow Patriarchate's 21-member delegation to the 9th Assembly in Porto-Alegre.
Alfeyev is a permanent member of the Joint International Commissions for the Theological Dialogue between the Orthodox Church and the Roman Catholic Church, between the Orthodox Church and the Anglican Church, between the Orthodox Church and the World Alliance of Reformed Churches. He is also interested in interfaith dialogue among all major world religions, and currently sits on the Board of World Religious Leaders for the Elijah Interfaith Institute.
On 10 October 2007, Alfeyev walked out of an important meeting of the Orthodox-Roman Catholic International Theological Commission at Ravenna, allegedly in protest against the choice of delegates by the Ecumenical Patriarchate. His action was approved by the Holy Synod of the Russian Orthodox Church.
On 5 October 2008, Alfeyev took part in the "Bible marathon" organized by the Italian state TV channel RAI-Uno. He read Chapter Two from the Book of Genesis, immediately following Pope Benedict XVI, who read Chapter One. Alfeyev was followed by 1246 readers from various countries.
In September 2009, at the invitation of Cardinal Walter Kasper, he visited Pope Benedict XVI and several officials of the Roman Curia who have key roles in Roman Catholic ecumenical dialogue.
Late in 2010, Alfeyev gave an important speech to senior Anglican bishops and professors at the Nikean Club dinner at Lambeth Palace, criticizing proposals for the ordination of women bishops and the alleged toleration of homosexual activity by some Anglicans.
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