Independent oversight that gives employers control

For self-funded employers, pharmacy spend is one of the fastest-growing — and least transparent — areas of healthcare cost. PBM contracts are complex, data is fragmented, and oversight is often out of reach without adding new infrastructure or staff. We help employers take back control, delivering enterprise-grade PBM oversight that reduces waste, strengthens accountability, and ensures every pharmacy dollar is working as intended.

How we help employers

We combine continuous monitoring, advanced analytics, and clinical expertise to help employers understand, manage, and improve their pharmacy spend.

Monitor 100% of pharmacy claims continuously, eliminating the blind spots of limited audits and vendor reporting.

Identify pricing, formulary, and utilization discrepancies,  recover missed savings, and prevent issues from recurring.

Optimize PBM performance  and contract execution to ensure alignment with plan goals and employee needs.

Quantify and communicate identified savings   opportunities and oversight outcomes with confidence.

Reduce administrative strain, freeing benefits and finance teams to focus on broader workforce and health strategies.

Strengthen employee trust through accurate, transparent pharmacy benefit administration.

Our solutions for employers

Rivera Insights

Rivera Analytics

Rivera Advisory

Always-on oversight that delivers more.

Rivera Insights continuously reviews 100% of paid pharmacy claims in real time, catching errors and savings opportunities as they occur. By integrating PBM contract terms, plan design details, and adjudicated claims, it creates a single source of truth — turning complex data into immediate, actionable insight.