Dr. Shannon McKeen serves as Medical Director of Apex Skin, where she provides clinical leadership, medical oversight, and strategic guidance to ensure the highest standards of dermatologic care, safety, and evidence-based practice across the organization. In this role, she partners closely with clinical teams and leadership to align medical excellence with patient-centered innovation.

Originally from South Bend, Indiana, Dr. McKeen began her academic career at Ball State University, where she earned a Bachelor of Science in Chemistry with a double major in Pre-Medical Preparation. During her undergraduate years, she was recognized for both Excellence in Undergraduate Teaching and Performance in Chemistry, reflecting her early commitment to academic rigor and mentorship.

Dr. McKeen earned her Doctor of Osteopathic Medicine degree from Lake Erie College of Osteopathic Medicine, graduating with distinction as one of only two students in her class to receive the Academic Achievement Award. She completed her clinical training at University Hospitals Richmond Medical Center, where she remained to complete a Dermatology-focused Traditional Rotating Internship.

She went on to complete her Dermatology residency at Lakeland Health in Saint Joseph, Michigan, where she was appointed Chief Resident. Following residency, Dr. McKeen became board-certified by the American Osteopathic Board of Dermatology and earned Fellowship status with the American College of Osteopathic Dermatology.

As Medical Director, Dr. McKeen brings deep clinical expertise, academic excellence, and a collaborative leadership style to Apex Skin. Her background in dermatology, commitment to continuous improvement, and passion for advancing patient outcomes make her a trusted leader within the organization and the broader dermatologic community.

Zach is an experienced Finance Executive with a passion for leading organizations through periods of dynamic growth and change. With more than a decade of experience in the healthcare industry, Zach has built a career at the intersection of finance, growth strategy, and organizational transformation.

Before joining Apex Skin, Zach served as the CFO of a national, private equity-backed behavioral health platform, where he oversaw financial operations and helped guide the company through significant expansion. Earlier in his career, he held roles across Finance, M&A, and Corporate Strategy in both public companies and private equity backed organizations.

Zach is known for combining analytical rigor with a collaborative leadership style, enabling teams to execute with clarity and achieve sustainable results.

Zach lives in Twinsburg, Ohio, with his wife and two children. Outside of work, he enjoys spending time with friends and family and is an avid football fan.

Doston Jones serves as Chief Administrative and Legal Officer at Apex Skin, where he provides executive oversight of the organization’s legal, compliance, Human Resources, privacy, and facilities functions. He partners closely with executive leadership to manage risk, strengthen operational infrastructure, and support the organization’s continued growth in a highly regulated healthcare environment.

Doston is a healthcare attorney with nearly 20 years of experience advising health systems, government agencies, and private organizations on regulatory compliance, employment matters, data privacy, and corporate governance. Before joining Apex Skin, he held senior legal and compliance leadership roles at Akron Children’s Hospital and served as Chief Legal and Compliance Officer for a multi-state behavioral health system.

In addition to his legal career, Doston served as a firefighter-paramedic with the Cleveland Division of Fire, an experience that continues to shape his service-oriented leadership approach.

Outside of work, he enjoys outdoor cooking, spending time with his wife and two daughters, and staying active in his community.

Since joining Apex Skin in 2018, Ruth has been a key driver of the organization’s growth from five offices to fifteen locations, delivering sustained double-digit growth and establishing Apex Skin as the most recognized and trusted dermatology brand in the region.

Ruth oversees enterprise initiatives, including brand strategy, customer segmentation, patient experience, and AI-driven visibility, with a focus on building scalable systems and aligning innovation with exceptional patient care. She leads a high-performing marketing organization executing an integrated, omni-channel growth strategy across digital, community, B2B, direct-to-consumer, and traditional channels.

Most recently, Ruth assumed leadership of the aesthetics vertical, positioning it as a core component of comprehensive skin health and a significant growth engine through sales pipeline development, operational optimization, and elevated patient experience.

She is deeply committed to developing people and empowering her team to lead with impact.

Ruth holds a Bachelor of Science in Marketing Management from the University of Akron and was a Division I collegiate swimmer. She is a Lean Six Sigma Black Belt, Vice President of the Hudson Chamber of Commerce, serves on multiple nonprofit boards, and has been recognized with the Woman You Should Know and Smart Woman awards.

Jeff Ferencic serves as Vice President of Operations at Apex Skin, bringing more than 20 years of progressive leadership experience across medical and retail healthcare environments. In his role, Jeff provides strategic and operational oversight for multi-site clinical operations, with a focus on optimizing workflows, enhancing the patient experience, and driving scalable, sustainable growth across the organization.

Throughout his career, Jeff has built a strong reputation for successfully scaling complex healthcare operations while maintaining high standards of quality, safety, and compliance. He has led initiatives to strengthen regulatory adherence, improve operational efficiency, and standardize best practices across diverse clinical settings. His expertise in Lean principles and process optimization has resulted in measurable improvements in performance, staff engagement, and patient satisfaction.

Jeff is known for his collaborative leadership style and his ability to align operational strategy with clinical excellence. He works closely with physicians, providers, and administrative teams to ensure operational systems effectively support patient care delivery while enabling long-term organizational success. He holds a background in Business Management from Cleveland State University and remains deeply committed to operational excellence that empowers teams and elevates the patient experience.

Theresa serves as Vice President of Research Operations at Apex Clinical Research Center, bringing several decades of clinical research leadership and business acumen to the Research Site. In her role, Theresa collaborates with Dr. Jorge Garcia-Zuazaga to integrate dermatology clinical research into the Apex Skin enterprise, growing from 1-2 employees to dozens of experienced and developing professionals in just a few short years.

Throughout her career, Theresa has blended the personal connection with the ‘work’ duties. Customer service expands to all “customers”, from our patients to our industry stakeholders. She believes that the ‘big picture’ should always reflect quality relationships and mutual respect. Quality data and commitments met are paramount to ensuring all customers receive top-notch care.

With a passion for leading and developing professional teams, Theresa champions her collaborative leadership style and her ability to align the personal touch to ensure successful growth. She holds a Bachelor of Science in Nursing from Kent State University and remains deeply committed to patient safety and quality metrics for our pharmaceutical partners.

Theresa is a lifelong Clevelander and enjoys time with family (most important job of all), outdoors in nature, and reading with the goal of “learning something new every day”.

Kelli Burns is an experienced financial professional with a passion for turning data into stories that drive smart decisions. With more than a decade of experience in Financial Planning & Analysis, she brings thoughtful strategy and a big-picture mindset to every challenge she tackles.

Prior to joining Apex Skin, Kelli spent time as a Finance Manager at a large global organization, supporting a major division through periods of growth and change. Known for her ability to translate numbers and trends into clear, actionable insights, she partners closely with leadership to uncover the “why” behind the results. Her approach helps teams see opportunities, connect financial performance to everyday decisions, and move forward with confidence.

A self-proclaimed Excel enthusiast, Kelli genuinely enjoys modeling, problem-solving, and making financial insights accessible and engaging. She loves helping teams get excited about results and empowering people to use data as a tool for better decision‑making.

A lifelong Northeast Ohio resident, Kelli enjoys spending time outdoors, running, and camping. Most of all, she loves spending time with her family and cheering them on in their passions.

Caitlin serves as Director of Aesthetics at Apex Skin, where she leads the organization’s growing aesthetics division with a focus on clinical excellence, patient experience, operational consistency, and scalable growth across multiple locations.

A board-certified Family Nurse Practitioner and Certified Master Injector, Caitlin brings nearly a decade of nursing experience and over five years of advanced aesthetic medicine expertise. Prior to entering aesthetics, she worked in pediatric organ transplant and complex surgery at Cincinnati Children’s Hospital Medical Center, where she developed a strong clinical foundation and deep commitment to compassionate patient care.

Since transitioning into aesthetics, Caitlin has become known for her ability to rapidly grow and optimize aesthetic operations while building high-performing, patient-centered teams. She oversees multi-site aesthetic operations, provider education and training, growth strategy, patient experience initiatives, and collaborative sales and marketing efforts. She is also heavily involved in implementing scalable systems and operational efficiencies to support continued expansion across the organization.

Caitlin is especially passionate about cultivating a positive, supportive culture centered on fairness, consistency, education, and empathy. She believes exceptional aesthetic outcomes begin with knowledgeable providers who genuinely care about delivering the highest level of patient experience and individualized care.

She earned her Bachelor of Science in Nursing from Xavier University and her Master of Science in Nursing from Northern Kentucky University. Caitlin is AANP board-certified as a Family Nurse Practitioner and is trained and certified in multiple advanced aesthetic treatment modalities.

Since joining Apex Skin in 2022, Johanna has been a driving force behind the organization's integrated marketing strategy, bringing over 20 years of experience in healthcare, brand development, campaign strategy, and community impact to Northeast Ohio's leading dermatology organization.

Johanna holds strategic ownership of the full marketing function, encompassing brand strategy, traditional and digital marketing, market positioning, and patient acquisition. She also leads enterprise-level business development, cultivates high-value strategic partnerships, and spearheads community impact initiatives that reinforce Apex Skin's reputation as a trusted healthcare provider and community partner throughout the region. She leads a talented marketing team with a deep commitment to ensuring every individual feels supported and empowered to grow, collaborate, and deliver meaningful results.

Johanna's journey to marketing began in physical therapy, where she developed a firsthand understanding of patient care and the human experience. Driven by a passion to make a broader impact, she returned to school to earn her second degree in marketing. This pivotal step uniquely positioned her to lead with both clinical empathy and strategic vision, strengths she brings to every campaign and initiative she leads.

Outside of work, Johanna embraces life with the same energy she brings to the office. She can be found hiking local trails, soaking up the shores of Lake Erie, or exploring new destinations around the world, often underwater while scuba diving. A true Northeast Ohio enthusiast, she enjoys the region's theaters, restaurants, and cultural scene. Above all, she treasures time with her husband, family, friends, and her beloved fur baby, Cornelius.

With more than 25 years of experience in accounting and financial leadership, Amber brings a strategic, well-rounded perspective to her role as Controller at Apex. She began her career as Finance Director for the Lake Metropolitan Housing Authority, where she built a strong foundation in governmental and nonprofit accounting.

Amber went on to spend more than a decade at MarshBerry, a leading insurance consulting and M&A firm, where she deepened her expertise in financial operations, transaction support, and advisory services. Throughout her career, she has worked across nonprofit, quasi-governmental, and corporate environments and has supported FP&A functions, giving her a comprehensive understanding of both day‑to‑day financial management and long‑term strategic planning.

Known for her depth of experience, attention to detail, and ability to navigate complex financial environments, Amber is a trusted leader committed to driving accuracy, efficiency, and continuous improvement across the organization.

Amber holds a Bachelor’s in Accounting. She resides in Painesville, Ohio, with her husband and the youngest of her six children. She is passionate about developing others, both professionally and personally, and in her free time enjoys hand‑knitting blankets and animals and exploring all things artsy.

Jim is a seasoned professional with 15 years of Business Development and Network Management experience across top-tier healthcare organizations. He has proven expertise in negotiating strategic partnerships with health systems, providers, and insurance payers to align clinical outcomes with financial performance.

Prior to joining Apex Skin, Jim held leadership positions at Medical Mutual of Ohio and the Cleveland Clinic, where he led cross-functional teams in implementing financial strategies that supported network expansion and long-term sustainability.

Jim lives in Bay Village, Ohio, with his family and enjoys spending time outdoors.

Shannon Ross is an accomplished Human Resources leader with more than 20 years of experience building and leading high-performing People functions across healthcare, technology, wellness, and service environments.

In her role at Apex Skin, Shannon leads the HR function across a multi-site organization, overseeing the full employee lifecycle, including talent acquisition, employee relations, performance management, engagement, human resources compliance, and culture. She partners closely with executive leadership to align people strategies with business growth, strengthen organizational effectiveness, and deliver a consistent, high-quality employee experience across clinical and corporate teams.

Shannon brings deep and diverse leadership experience and has held senior roles at The MetroHealth System, OnShift, Bravo Wellness, and EnvisionRxOptions, where she transformed HR into a strategic business partner and led initiatives that improved engagement, retention, and leadership development. She is known for balancing strategic vision with hands-on execution and for building cultures grounded in trust, accountability, and authenticity.

A trusted advisor to executive teams, Shannon is deeply committed to creating employee experiences where people feel valued, supported, and able to do their best work—blending data-driven insights with an intuitive, people-first leadership approach.

Outside of her professional role, Shannon is a longtime Kent, Ohio, resident and proud mother and grandmother. She enjoys spending time with family and friends, especially at the beach—her favorite place to recharge—and unwinding with a good cuppa tea. She also has a long-standing interest in British royal history.

Melisa Selway is the Director of Revenue Cycle Management at Apex Skin, where she oversees billing and credentialing operations with a focus on accuracy, efficiency, and operational excellence. She brings 30 years of comprehensive experience in dermatology, having served in nearly every facet of practice operations, including medical records, reception, certified medical assisting, coding (CDC-certified), billing, office management, practice administration, and revenue cycle management.

Melisa is recognized for her integrity, strong leadership, and commitment to efficiency. She leads by example and is known for fostering collaboration across departments and operational areas to support organizational success. Her performance-focused mindset, commitment to excellence, and strong work ethic are balanced by a great sense of humor, contributing to a positive and engaging team environment.

Outside of work, Melisa values time with her family, including her husband, three daughters, and two Great Danes. She is also a competitive dart player of over 20 years who has traveled across the United States for tournaments, reflecting her dedication, precision, and competitive spirit both inside and outside of work.

Kelli Burns is an experienced financial professional with a passion for turning data into stories that drive smart decisions. With more than a decade of experience in Financial Planning & Analysis, she brings thoughtful strategy and a big-picture mindset to every challenge she tackles.

Prior to joining Apex Skin, Kelli spent time as a Finance Manager at a large global organization, supporting a major division through periods of growth and change. Known for her ability to translate numbers and trends into clear, actionable insights, she partners closely with leadership to uncover the “why” behind the results. Her approach helps teams see opportunities, connect financial performance to everyday decisions, and move forward with confidence.

A self-proclaimed Excel enthusiast, Kelli genuinely enjoys modeling, problem-solving, and making financial insights accessible and engaging. She loves helping teams get excited about results and empowering people to use data as a tool for better decision‑making.

A lifelong Northeast Ohio resident, Kelli enjoys spending time outdoors, running, and camping. Most of all, she loves spending time with her family and cheering them on in their passions.