Rivera

Rivera is the leader in pharmacy payment integrity, headquartered in Columbus, Ohio. The company partners with commercial and government health plans, employers, and channel partners to deliver independent pharmacy benefit manager oversight and control. Built by industry and clinical experts, Rivera's platform combines advanced analytics, proprieta... ry algorithms, continuous claim monitoring, and error detection at scale to help payers proactively manage PBM performance. The company provides oversight dashboards, reporting, executive visibility, and strategic consulting services designed to identify hidden waste, strengthen PBM alignment, and ensure every pharmacy dollar is spent with integrity. Rivera's solutions deliver clarity and measurable savings by bridging the divide between payers and PBMs through continuous, independent oversight that ensures pharmacy benefits work as intended. Formerly known as HealthPlan Data Solutions, the company rebranded to Rivera to reflect its rapid growth and category-defining approach to pharmacy payment integrity.Read More