Pharmacy Consulting Team Lead – Timothy E. Allen | Former Special Agent (U.S. Secret Service & DOJ-OIG)
Every organization including pharmacies need investigative solutions. Regardless of the industry, corporate investigations are critical because of the presence of internal and external threats that pose serious consequences if left unchecked.
Corporate Investigation Consulting offers corporate investigation services to Pharmacies. Our Pharmacy Consulting services uncover situations in the Pharmaceutical Industry that identify wrongdoing, impact on security and eliminate or reduce risk to your business.
The pharmacy industry is very unique. Independent retail pharmacy owners must sign contracts with PBMs (Pharmacy Benefit Managers) to process claims brought forward by insured customers. The contracts are lengthy and designed to benefit PBMs. The contracts can limit a pharmacy’s effectiveness in recovering claims and enjoying growth. They can also limit a pharmacy’s effectiveness when serving customers.
We understand PBM contracts and manuals inside-out. We also know state and federal regulations and ways of protecting pharmacies like yours from abuse. We can protect you before audits and defend you if need arises post-audit.
Our Business
We exist to offer specialized knowledge and support, and solutions to the internal and external problems that face pharmacies every day. We will fight for your rights and business if you face challenges. Call us today (866-352-9324).
Put our highly experienced team on your side
Roger Bach
Former Special Agent (OIG)
Timothy E. Allen
Former Senior Special Agent U.S. Secret Service
Chris J. Quick
Former Special Agent (FBI & IRS-CI)
Maura Kelley
Former Special Agent (FBI)
Ray Yuen
Former Supervisory Special Agent (FBI)
Michael S. Koslow
Former Supervisory Special Agent (DOD-OIG)
Marquis D. Pickett
Special Agent U.S. Secret Service (ret.)
How We Offer Pharmacy Consulting Services
We investigate internal and external risks searching for any impact on your pharmacy operations, work environment, and bottom-line.
Our corporate investigators can customize solutions and offer continuity in the midst of implementing new strategies. We offer pharmacies full spectrum investigative services that cover every aspect of your operations. We will offer corporate investigations, due diligence, end-to-end delivery, and more.
Our mission is to protect our clients. We use all services and intelligence at our disposal to move your business from a strategic thinking phase to a tactical implementation one.
Corporate Investigation Consulting’s goal is solving critical issues faced by our clients (pharmacies) through unique approaches that differentiate us and guarantee success at the same time.
Why Do You Need Pharmacy Consulting Services?
For Compliance
Pharmacies have compliance policies and programs that must be met. Disregarding such programs or policies can warrant an investigation. Compliance issues arise mostly after red flag incidents such as reported allegations, workplace malpractices and/or a corrupt alert line. Regulators also have strict compliance guidelines that must be met for licensing, among other mandatory requirements like certification.
Pharmacies need experts to meet their compliance obligations. That’s where our Pharmacy Consulting corporate investigations services come in!
To Uncover/Investigate Wrongdoing
The pharmacy industry is very sensitive for obvious reasons. Any allegations must be investigated thoroughly. Many pharmacy industry cases begin with probable cause i.e., a suspicious email, overheard conversation, unfair competition, a disgruntled employee, etc. The full extent of allegations or suspicious activities must be investigated whether they originate internally or externally. The best way to uncover data theft, embezzlement, sabotage, prescription scams, product theft, etc., is to hire the right experts i.e., prior pharmacy industry insiders and PBM auditors such as those at Corporate Investigation Consulting.
To Audit Current Processes and Complement Risk Management
Pharmacies may have risk management processes in place. However, there may still be weaknesses. We complement existing processes with audits that also assess the efficacy of existing processes and awareness/training programs to optimize resource allocation.
If you can’t ascertain if you have optimized your resources, talk to us.
To Uncover Causes of Disruptive Incidents
Occurrences like drug contamination, drug compounding (mixing drugs), robberies, and ergonomic hazards can occur in any pharmacy. Such occurrences must be investigated. Reasons for accidents spanning from lack of adequate procedures to employee drug use, poor departmental oversight, and disregarding of organizational policies must be traced to their root causes.
To Uncover Theft and Recover Losses
Reoccurring theft is common in pharmaceutical establishments. Internal theft cases (physical theft) is incredibly common in the manufacturing and retail sector. Financial theft can also occur. Pharmaceutical establishments suspecting theft should procure corporate investigation services to uncover the root cause, recover losses, and put measures in place preventing further theft.
Our Pharmacy Consulting Services
We offer six main corporate investigation services to clients running independent pharmacies. These services include;
Compliance Consulting
We help pharmacies navigate complex federal laws, state laws, PBM auditing, contracts, and other compliance issues faced by independent pharmacies.
Internal Audits
We also help pharmacies monitor and evaluate their effectiveness in all aspects from risk management to day-to-day operations.
External Audit Defense
Pharmacies need external audits for ensuring operations run according to established guidelines. When regulators or enforcement agents conduct audits arising from various sources ranging from customer complaints to competitor complaints and substantial changes, you need experts to defend you. We can defend against missing documentation, negative findings, and more.
Cybersecurity Consulting and Internal Audits
Corporate Investigation Consulting also reviews key IT assets, IT infrastructure, existing security strategies, and controls with the aim of identifying vulnerabilities and recommending effective cyber securing solutions.
Digital Forensics Consulting
If a crime is committed and you need to support/refute a hypothesis, we can recover and investigate materials in digital devices present in your establishment or under official use. This service is extended to clients with computer crime-related issues, among other formal disputes that may require forensic expertise and evidence.
Risk Management Consulting
We can also investigate anything that can go wrong in the operations of a registered pharmacy, from dispensing errors to adverse health outcomes linked to a pharmacy’s services or activities.
Running a pharmacy can be fulfilling when you make a difference in people’s lives. However, challenges are unavoidable in many areas in many areas ranging from interpretation and implementation of state and federal regulations regarding pharmacies to navigating complex PBM contracts.
Corporate Investigation Consulting offers world-class pharmacy consulting services. Our team is composed of former industry insiders who understand the most unique challenges and how to navigate them. We can help both large and small pharmacies deal with audits, change management, risk mitigation, cybersecurity risks, and internal/external threats to optimize productivity and the bottom-line.
Talk to a corporate investigation consultant now at 866-352-9324 or by contacting us online for a free-confidential consultation. We offer assistance on all corporate investigation matters related to pharmacy owners in the U.S.