Pharmacy costs keep climbing while PBM arrangements grow more complex. We give payers the clarity and control they’ve been missing — through independent PBM oversight that restores visibility, reduces waste, and rebuilds trust across every relationship.
We work with regional and national carriers offering employer-sponsored and individual market coverage, delivering PBM oversight with accuracy and transparency. Our solutions help plans optimize PBM performance, improve efficiency across pharmacy spend, and free internal teams to focus on higher-value work — creating the space to innovate faster and better serve their members.
We support Medicare, Medicaid, FEHB, and state-run employee health plans with PBM oversight increasing compliance, transparency, and fiscal stewardship. By combining clinical expertise with advanced analytics, we help government health plans uphold accountability and maximize the value of every healthcare dollar.
We help self-funded employers manage their pharmacy spend with enterprise-grade PBM oversight without adding infrastructure or staff. Our insights uncover hidden waste, improve contract alignment, and give employers confidence that their PBM is delivering as promised.
We collaborate with consultants and advisors to extend our expertise through white-labeled solutions, bringing PBM oversight, measurable savings, and stronger strategies to their clients. By equipping partners with data-driven insights and oversight tools, we help them deepen trust and expand the value they deliver.
Our solutions work together to provide clarity — ensuring your pharmacy benefit works as intended — and measurable savings.
Rivera Insights
Continuous claim monitoring and error detection at scale.
Rivera Analytics
Oversight dashboards, reporting, and executive visibility.
Rivera Advisory
Strategic consulting from industry and clinical experts.
Who we serve
Resources
About
Copyright
2025 Rivera, Inc.