Medical Director Remote Jobs in Massachusetts (US)
This page tracks remote medical director openings that are location-eligible for Massachusetts.
This page tracks remote medical director openings that are location-eligible for Massachusetts.
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• Leads the operational backbone of the US/CAN Medical Affairs. • Ensures compliant, efficient, and high‑quality execution of medical strategies across the PDx portfolio. • Manages a team and partners closely with Medical Affairs, Patient Safety, Regulatory, Quality, Compliance, Clinical Applications team and Commercial colleagues. • Drives operational planning cycles including medical activity tracking, dashboards, KPIs, and compliance documentation. • Translates scientific and medical priorities into executable operational processes, systems, and workflows.
• Serve as Clinical Operations Expert across PSI opportunities • Provide oversight to ensure clinical accuracy, alignment with best practices, and evidence-based recommendations • Function as rural health subject matter expert, helping design and adapt solutions • Provide test subject matter expertise to achieve validation of design acceptability criteria • Support solutioning for program of government customers’ needs in implementing/integrating rural health applications • Develop, implement and sustain clinical solutions for PSI’s Emerging Technology and Innovation activities • Serve as Clinical Operations Leader across PSI • Provide thought leadership to strengthen PSI’s market positioning • Mentor PSI staff and partners to integrate clinical excellence into operations, development, and delivery models
Role Description This position is located in the Health Information Management (HIM) section at the Phoenix VA Medical Center. Medical Records Technicians (Coder-Outpatient) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. They analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis and procedure. Responsibilities - Utilizes computer applications with varied functions to produce a wide range of reports, to abstract records, and review assigned codes. - Performs audits of encounters to identify areas of noncompliance in coding. - Facilitates improved overall quality, completeness, and accuracy of coded data. - Works with staff to ensure that regulations are met, or areas of weakness are identified and reported to the appropriate supervisor for corrective action. - Selects and assigns codes from the current version of several coding systems, including the current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). - Adheres to accepted coding practices, guidelines, and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or Evaluation and Management code to ensure ethical, accurate, and complete coding. - Searches the patient record to find documentation justifying code assignment based on an expanded knowledge of the organization and the structure of the patient health record. - Responsible for performing audits of coded data, developing criteria, collecting data, graphing and analyzing results, and creating reports and communicating in writing and/or in person to appropriate leadership and groups. - Maintains statistical databases to track the results and validate the program for identifying patterns and variations in coding practices, with regular reports to the medical staff and management. Work Schedule Hours to be discussed during the interview process. Remote These approved positions are currently designated for a mid-term extension to the return to office mandate through October 2025. While these positions may be filled remotely, the employee will be required to return to the office if the mid-term extension is not continued. Therefore, all applicants must be located within 50 miles of a VA facility. Telework This position is telework eligible but may be required to return to the office permanently at a later date. Qualifications - Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - Experience: One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of a health records. - Education: An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management. - Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. - Certification: Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have either Apprentice/Associate Level Certification, Mastery Level Certification, or Clinical Documentation Improvement Certification through AHIMA or ACDIS. - English Language Proficiency: MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). Requirements - Ability to analyze the health record to identify all pertinent diagnoses and procedures for coding and to evaluate the adequacy of the documentation. - Ability to accurately perform the full scope of outpatient coding, including ambulatory surgical cases, diagnostic studies and procedures, and outpatient encounters. - Skill in interpreting and adapting health information guidelines that are not completely applicable to the work, or have gaps in specificity. Physical Requirements They analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis and procedure.
CommonSpirit Health is a nonprofit organization that is on a mission to improve people’s health while making “the healing presence of God known.” The orga
Role Description As our Medical Receptionist, you will be the essential first point of contact for patients and visitors within our specialized Palliative Care practice, embodying the compassionate and welcoming spirit of our service. You will play a pivotal role in patient registration, appointment scheduling, and insurance verification, ensuring a seamless and supportive administrative experience. - Warmly greet patients and visitors. - Manage the reception area. - Handle multi-line phone calls with a pleasant and helpful demeanor. - Meticulously register new patients in IDX. - Accurately verify insurance eligibility and benefits. - Update patient demographic and financial information. - Perform various clerical duties, including: - Maintain departmental deposit logs. - Prepare routine schedules and reports. - Utilize analytical skills necessary to maintain provider schedules. - Ensure a positive customer service atmosphere and interactions in reception areas. - Oversee the waiting area. - Coordinate patient movement and report problems or irregularities. - Possess a working knowledge of multi-line phones. Qualifications - High school diploma or GED. - Strong basic computer skills, including proficiency with Outlook, Windows-based, and Google Suite programs. - Exceptional ability to communicate effectively. - Ability to multitask and maintain professional working relationships with patients, employees, and physicians. Requirements - High School Graduate/GED. - Basic computer skills. - Google Suites based programs. Benefits - Opportunity to grow within a comprehensive network of inpatient and outpatient services. - Access to a vibrant community hospital and leading regional healthcare system. - Experience a charming blend of bygone appeal and modern amenities in Prescott. - Enjoy a relaxed lifestyle that empowers professional growth and family time.
We are a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health.
• Partner with the Sr. Medical Director, Oncology on the clinical development of cell-free DNA (cfDNA) molecular diagnostics and liquid biopsy assays for gynecologic cancers • Direct the development and execution of clinical strategies and evidence-generation plans that demonstrate clinical utility in gynecologic oncology, including minimal residual disease (MRD) tracking, recurrence monitoring, treatment response assessment, and clinical trial enrichment • Oversee medical education and scientific communications for healthcare providers focused on gynecologic oncology, including tumor boards, webinars, and field medical enablement • Partner with commercial and marketing teams to deliver clear, data-driven clinical evidence and educational materials to gynecologic oncology stakeholders • Represent Natera at medical congresses and industry events, including SGO, ASCO, and ESMO, both in person and virtually • Build and maintain relationships with external experts, clinical investigators, cooperative groups such as NRG/GOG, and professional societies within gynecologic oncology • Collaborate with R&D, biostatistics, clinical operations, and HEOR on protocol development, endpoint selection, data analysis, data interpretation, peer-reviewed publications, and congress submissions in gynecologic oncology
Role Description The Chief Medical Officer (CMO) serves as the senior clinical executive for OnePeak Medical, responsible for providing strategic clinical oversight and ensuring regulatory, payer, and quality compliance. The CMO oversees quality programs, provides medical direction and supervision to the provider team, and partners with leadership to safeguard the highest standards of patient-centered care. This role may include limited direct patient care (not to exceed one day per week) to maintain clinical relevance and connection to frontline practice. Responsibilities and Duties - Clinical Governance & Oversight - Oversee and maintain clinical protocols aligned with OnePeak principles, evidence-based standards, and payer compliance. - Provide medical direction, supervision, disciplinary action, and support to providers or the Clinical Director as needed. - Ensure quality of care, adherence to medical necessity, and compliance with regulatory requirements (HIPAA, OSHA, payer rules). - Monitor coding, billing, and contracting practices to reduce audit and reimbursement risk. - Keep clinical policies and procedures current with best clinical and regulatory practices. - Serve as a subject matter expert in primary care, functional medicine, and hormone optimization. - Remain accessible for urgent clinical questions and complex case consultations. - Collaborate with the Clinical Director and leadership to: - Set provider performance expectations and productivity/quality goals. - Recruit, interview, and onboard providers. - Coach, evaluate, and develop improvement plans for clinical staff. - Plan and deliver provider training. - Quality, Safety & Outcomes - Lead organizational quality programs, including patient safety, satisfaction, and clinical outcomes reporting. - Champion adoption of evidence-based guidelines and standard operating procedures (SOPs). - Monitor provider adherence to documentation, coding, and utilization standards. - Drive continuous improvement initiatives to meet payer expectations and strengthen OnePeak’s standing in value-based care arrangements. - Participate in peer review, incident review, and adverse event mitigation activities. - Strategic & Administrative Duties - Participate in strategic and annual planning, including budget development for medical activities. - Represent OnePeak Medical’s clinical team in external meetings and community initiatives. - Partner with Operations to integrate new services and therapies safely and compliantly. - Coordinate care with referring physicians and oversee specialty or advanced care integration. - Perform additional administrative duties as assigned, including committee participation and operational planning. - Collaboration & External Relations - Serve as the clinical spokesperson for the organization with payors, regulators, and external stakeholders. - Partner with Marketing and Business Development to ensure clinically accurate and compliant communications. - Build external relationships with industry leaders, research organizations, and medical associations to support thought leadership and innovation. Qualifications - MD or DO, with active Oregon medical license (or eligibility). - Board certification in primary care, family medicine, internal medicine, or a relevant specialty. - Minimum 10-15 years of clinical practice with at least 5 years in a leadership role. - Proven experience overseeing quality programs, provider supervision, and regulatory compliance in a multi-site healthcare organization. - Strong knowledge of functional medicine, integrative care models, and payer expectations. - Excellent leadership, communication, and change management skills. Benefits - Medical, Dental, Vision, and Life Insurance - 401(k) Retirement Plan with Company Match - Voluntary LTD, FSA, Accident, Critical Illness - Paid Time Off and Paid Holidays - Employee and Family Discounts - Paid Parental Leave
UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of
Role Description The Medical Director provides physician support to Enterprise Clinical Services operations, the organization responsible for the initial clinical review of service requests for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members. The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on post-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with a multidisciplinary team and is actively involved in the management of medical benefits. The collaboration often involves the member’s primary care provider or specialist physician. It is the primary responsibility of the medical director to ensure that the appropriate and most cost-effective quality medical care is provided to members. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations. - Document clinical review findings, actions, and outcomes in accordance with policies, and regulatory and accreditation requirements. - Engage with requesting providers as needed in peer-to-peer discussions. - Be knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviews. - Participate in daily clinical rounds as requested. - Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy. - Communicate and collaborate with other internal partners. - Call coverage rotation. Qualifications - M.D. or D.O. - Active unrestricted license to practice medicine. - Board certified Medical Genetics and Genomics OR Board certified in Family Medicine or Internal Medicine with training in genetics (Board certifications must be through the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA)). - Ability to obtain additional licenses as needed. - 5+ years of clinical practice experience after completing residency training. - Proven sound understanding of Evidence Based Medicine (EBM). - PC skills, specifically using MS Word, Outlook, and Excel. - Participate in rotational holiday and call coverage. Requirements - Licensed in MA or MN. - Utilization Management or clinical coverage review experience for an insurance or managed care organization OR 2+ years of Hospitalist Experience. - Experience doing reviews and Utilization Management for inpatient stays. - Innovative problem-solving skills. - Proven presentation skills for both clinical and non-clinical audiences. - Demonstrated excellent oral, written, and interpersonal communication skills, facilitation skills. - Current licensure in New Mexico, Arizona or Indiana. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements). - Salary range from $248,500 - $373,000 annually based on full-time employment. Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
WellSense Health Plan is a nonprofit health insurance company. As an employer, the company strives to foster a fast-paced, goal-motivated, and supportive culture for its team membe
Role Description The Medical Director -BH per diem will support the staff of the Office of Clinical Affairs and Behavioral Health teams in the areas of medical management daily medical necessity reviews, evaluation of medical policy, utilization trend management, quality, appeals and grievances, and pharmacy reviews. Key Functions/Responsibilities - Provides clinical case review, consultation and oversight for all utilization management activities in a fashion that is compliant with all federal, state, and NCQA requirements. - Conducts review of prior authorizations, concurrent reviews and retrospective medical necessity reviews that do not meet standard criteria and determines coverage. - Works with the Senior Medical Director of Behavioral Health to identify appropriate use of InterQual criteria and Medical Policy. - Works with the Senior Medical Director to ensure consistent medical decision making for all physician reviewers, including the contracted physicians. - Conducts clinical review of appeals and grievances in a fashion that is compliant with all federal, state and NCQA requirements. - Develops and supports clinical initiatives to support department quality improvement and utilization management goals. - Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment. - Collaborates with hospital physicians, medical directors, primary care physicians and nurse case managers in daily activities and initiatives to improve the health of the population, the quality and experience of care our members receive, and lower the overall cost of care at the population level. - Participates in and chairs clinical committees as assigned by the Senior Medical Director of Behavioral Health. - Supports quality, and pharmacy committees and activities. - Provides input to the strategic planning process for the Office of Clinical Affairs as requested. - Represents the Chief Medical Officer or Senior Medical Directors in Massachusetts, New Hampshire and other locations as requested. Supervision Exercised - Indirect technical direction is provided to the organization. Supervision Received - General direction is received weekly. Qualifications - Graduate as a Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited allopathic or osteopathic medical school. - 8-10+ years of related experience is required including a minimum of 5 years direct clinical experience. - 3 years experience in medical management in a managed care setting is ideal. Preferred/Desirable - Pre-employment background check. - Active or lifetime board certification in psychiatry (Child and Adolescent specialty) from the American Board of Psychiatry and Neurology or the American Osteopathic Board of Neurology and Psychiatry. - Current unrestricted licensure as an MD in the Massachusetts and New Hampshire is required, or able to obtain in a reasonable timeframe. - No restriction on participation in Medicare or Medicaid programs. Competencies, Skills, and Attributes - Excellent demonstrated clinical skills and knowledge. - Excellent written and verbal communication skills. - Comprehensive knowledge of accrediting organizations such as NCQA. - Comprehensive knowledge of InterQual protocols, HEDIS, and other quality measures. - Knowledge of Medicare and state Medicaid regulations, guidelines, and standards. - Proven leadership skills and relationship building. - Knowledge of managed care principles and processes. - Ability to work independently with intermittent supervision. - Adhere to appropriate turn-around-times and deadlines while maintaining results of high quality and reliability. Working Conditions and Physical Effort - Work is normally performed in a typical remote interior/office work environment. - No or very limited physical effort required. No or very limited exposure to physical risk. - Ability to travel to locations within New Hampshire and Massachusetts. - Regular and reliable attendance is an essential function of the position. Compensation Range $150.00/ Hour This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, WellSense offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family wellbeing. Note: This range is based on Boston-area data, and is subject to modification based on geographic location.
Role Description The Medical Outcomes Liaison (MOL) is a field-based Medical Affairs professional responsible for engaging payers and healthcare decision makers (HCDMs). This role focuses on communicating the clinical and economic value of Alumis therapies to support formulary access, reimbursement, and patient outcomes. This is a critical role supporting pre-launch and launch readiness, translating clinical and HEOR evidence into meaningful value narratives for population-based stakeholders. - Build and maintain relationships with payers, PBMs, and health systems - Deliver clinical, real-world, and health economic evidence to inform access decisions - Support payer engagement strategy, including pre-launch activities and value communication - Contribute to HEOR and evidence generation plans, including AMCP dossier support - Gather insights on payer needs and market dynamics to inform strategy - Collaborate cross-functionally with Medical Affairs, HEOR, and Market Access teams Qualifications - Advanced degree required (PharmD, PhD, MD, MPH, or equivalent) - 5+ years of experience in Medical Affairs, HEOR, Market Access, or related field - Experience engaging payers or healthcare decision makers strongly preferred - Strong understanding of HEOR, RWE, and U.S. payer landscape - Excellent communication and stakeholder engagement skills Requirements - Ability to translate complex data into clear, payer-relevant value insights - Strong collaboration skills in a cross-functional, fast-paced environment - Strategic mindset with a focus on value-based care and patient access Benefits - Health insurance premiums paid at 90% for employee, 80% for dependents - Free access to Genentech Bus & Ferry Share program - $100 monthly cell phone stipend - Unlimited PTO for Exempt employees - Free onsite gym and a kitchen stocked with yummy snacks and drinks!
Located in Dublin, Leinster, Ireland, Alkermes is a leading provider of innovative medicine for people with debilitating diseases. Committed to advancing treatm
Senior Medical Director - Medical Director, Global Safety Officer Location: Waltham United States Job Description: The Sr. Medical Director/Medical Director, Global Safety Officer (GSO) will work closely with the DSPV leadership team and will provide strategic safety oversight for the assigned investigational and/or marketed products, for the Alkermes Neuroscience portfolio. Reporting to the Head of DSPV, the GSO will serve in a visible role in providing safety advisement in several company-wide forums and initiatives. Demonstrated prior career success as a product safety physician, having led clinical and post-marketing programs as the Safety lead, working in close partnership with cross-functional teams. This individual will be responsible for collaborating and working effectively with key stakeholders and keeping the DSPV leadership informed of evolving safety issues and strategies. Key success factors also include building high trust, accountability and demonstrating a sense of urgency in leading critical projects, showing the capability to work either independently or collaboratively in a matrixed environment, and to be able to effectively communicate with varied stakeholders. Responsibilities: Provide medical leadership within Drug Safety Benefit-Risk Management - Accountable for therapeutic area/product safety oversight and strategies/activities including (but not limited to): - Strategic advisement on clinical development plans and clinical protocols design - Responsible for developing safety content of IB and ICFs and support of DSMBs or study-specific safety review forums for clinical programs - Strategic safety input for regulatory documents, including benefit-risk content within the Clinical Overview documents, Briefing Books, INDs, Annual reports, labeling etc. - Responsible for the content of any Risk Management Plan, and for the overall risk management and minimization strategies for assigned programs/portfolio, in alignment with internal stakeholders - Responsible for the content of aggregate safety reports (i.e., DSUR, PSUR, PADER) including assessment of benefit-risk evaluation - Advisement on the design of post-approval safety studies; Safety SME and contributor for publications, HEOR and epidemiology projects - Be a resource and the safety expert to DSPV, cross-functional teams and leadership, on matters of safety findings, quality issues, safety regulations and processes, industry standards, and other relevant topics relating to safety strategy and execution - Medical and Safety expertise towards Business Development/Due Diligence activities for Alkermes Neuroscience portfolio - The Global Safety Officer (GSO) will lead safety oversight for assigned investigational and/or marketed products, including: - Lead product safety surveillance and signaling activities for assigned product(s) in collaboration with DSPV staff - Acquire a deep understanding of the disease process and assigned product(s) efficacy and safety profile including a working knowledge of other products in the class and therapeutic space - Ensure that routine signaling activities, assessment, and investigation are completed and documented in a timely manner - Ability to effectively communicate and respond to product safety queries from all sources including ethics committees and regulatory authorities - Lead product benefit-risk assessment and presentation to the Safety Committee and any needed actions to update patient safety information - Lead Drug Safety and Pharmacovigilance representation in the assigned program team and clinical development team and respective study management teams Qualifications: - MD or MD/PhD required - Minimum of 4+ years of experience required for the Medical Director role, of 6+ years for the Sr. Medical Director role, in Drug Safety & Pharmacovigilance and/or other relevant clinical experience Preferred Requirements: - Prior experience in patient care, clinical development (including early clinical), and/or knowledge of clinical pharmacology desirable - Safety/medical experience in the Neuroscience therapeutic space is highly desirable - Strategic and critical thinking skills - Leadership as well as the ability to perform effectively in a matrixed and dynamic environment, with the ability to collaborate across functions and geographies - Excellent communication (oral and written) as well as organizational skills. - Sense of urgency and accountability for both individual and team-owned work products - Knowledge of pre- and post-marketing US and EU regulations In addition to the requirements above, the Sr. Medical Director level requires: - Demonstrated ability to lead safety strategy across global clinical programs and post-marketing settings - Experience representing DSPV in regulatory inspections and cross-functional governance forums - Advanced understanding of global pharmacovigilance regulations and benefit-risk frameworks - Experience contributing to scientific publications and external presentations on safety topics Alkermes has recently adopted a hybrid working environment to support and meet the needs of employees and this role will operate in a flexible environment with 60% of time in the office and 40% from home. This position is eligible for the hybrid workplace model, requiring work to be completed onsite at our Waltham, MA office at least 3 days per week. This role is not eligible for fully remote work. The annual base salary for this position ranges from $285,000 to $320,000. In addition, this position is eligible for an annual performance pay bonus. Exact compensation may vary based on skills, training, knowledge, and experience. Alkermes offers a competitive benefits package. Additional details can be found on our careers website: www.alkermes.com/careers#working-here #LI-MB1 Why join Team Alkermes? Alkermes applies its decades of deep neuroscience expertise to develop medicines designed to help people living with complex and difficult-to-treat psychiatric and neurological disorders. A global biopharmaceutical company, headquartered in Ireland with U.S. locations in Massachusetts and Ohio, we seek to make a meaningful difference in the way people manage their diseases. We have a portfolio of proprietary commercial products for the treatment of alcohol dependence, opioid dependence, schizophrenia, bipolar I disorder and narcolepsy, and a pipeline of clinical and preclinical candidates in development for various psychiatric and neurological disorders. We are proud to have been recognized as an employer of choice by many national organizations. In 2024 and 2025, we were certified as a Great Place to Work in the U.S. and named one of Massachusetts' Top Places to Work by the Boston Globe, a Best Place to Work in Greater Cincinnati by the Cincinnati Business Courier and recognized as a Best Place to Work in BioPharma by Fortune Magazine. Alkermes, Inc. is an equal employment opportunity employer and does not discriminate against any qualified applicant or employee because of race, creed, color, age, national origin, ancestry, religion, gender, sexual orientation, gender expression and identity, disability, genetic information, veteran status, military status, application for military service or any other characteristic protected by local, state or federal law. Alkermes also complies with all work authorization and employment eligibility verification requirements of the Immigration and Nationality Act and IRCA. Alkermes is an E-Verify employer.
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