100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018
SB1378

 

Introduced 2/9/2017, by Sen. Jil Tracy

 

SYNOPSIS AS INTRODUCED:
 
20 ILCS 415/4d  from Ch. 127, par. 63b104d

    Amends the Personnel Code to provide for partial jurisdiction B exemption for certain positions within the Department of Human Services.


LRB100 00358 RJF 10362 b

 

 

A BILL FOR

 

SB1378LRB100 00358 RJF 10362 b

1    AN ACT concerning State government.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Personnel Code is amended by changing
5Section 4d as follows:
 
6    (20 ILCS 415/4d)  (from Ch. 127, par. 63b104d)
7    Sec. 4d. Partial exemptions. The following positions in
8State service are exempt from jurisdictions A, B, and C to the
9extent stated for each, unless those jurisdictions are extended
10as provided in this Act:
11        (1) In each department, board or commission that now
12    maintains or may hereafter maintain a major administrative
13    division, service or office in both Sangamon County and
14    Cook County, 2 private secretaries for the director or
15    chairman thereof, one located in the Cook County office and
16    the other located in the Sangamon County office, shall be
17    exempt from jurisdiction B; in all other departments,
18    boards and commissions one private secretary for the
19    director or chairman thereof shall be exempt from
20    jurisdiction B. In all departments, boards and commissions
21    one confidential assistant for the director or chairman
22    thereof shall be exempt from jurisdiction B. This paragraph
23    is subject to such modifications or waiver of the

 

 

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1    exemptions as may be necessary to assure the continuity of
2    federal contributions in those agencies supported in whole
3    or in part by federal funds.
4        (2) The resident administrative head of each State
5    charitable, penal and correctional institution, the
6    chaplains thereof, and all member, patient and inmate
7    employees are exempt from jurisdiction B.
8        (3) The Civil Service Commission, upon written
9    recommendation of the Director of Central Management
10    Services, shall exempt from jurisdiction B other positions
11    which, in the judgment of the Commission, involve either
12    principal administrative responsibility for the
13    determination of policy or principal administrative
14    responsibility for the way in which policies are carried
15    out, except positions in agencies which receive federal
16    funds if such exemption is inconsistent with federal
17    requirements, and except positions in agencies supported
18    in whole by federal funds.
19        (4) All beauticians and teachers of beauty culture and
20    teachers of barbering, and all positions heretofore paid
21    under Section 1.22 of "An Act to standardize position
22    titles and salary rates", approved June 30, 1943, as
23    amended, shall be exempt from jurisdiction B.
24        (5) Licensed attorneys in positions as legal or
25    technical advisors; positions in the Department of Natural
26    Resources requiring incumbents to be either a registered

 

 

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1    professional engineer or to hold a bachelor's degree in
2    engineering from a recognized college or university;
3    licensed physicians in positions of medical administrator
4    or physician or physician specialist (including
5    psychiatrists); all positions within the Department of
6    Juvenile Justice requiring licensure by the State Board of
7    Education under Article 21B of the School Code; from the
8    effective date of this amendatory Act of the 99th General
9    Assembly until January 1, 2017, all positions within the
10    Illinois School for the Deaf and the Illinois School for
11    the Visually Impaired requiring licensure by the State
12    Board of Education under Article 21B of the School Code;
13    and registered nurses (except those registered nurses
14    employed by the Department of Public Health); except those
15    in positions in agencies which receive federal funds if
16    such exemption is inconsistent with federal requirements
17    and except those in positions in agencies supported in
18    whole by federal funds, are exempt from jurisdiction B only
19    to the extent that the requirements of Section 8b.1, 8b.3
20    and 8b.5 of this Code need not be met.
21        (5.5) The following positions within the Department of
22    Human Services are exempt from jurisdiction B only to the
23    extent that the requirements of Section 8b.1, 8b.3 and 8b.5
24    of this Code need not be met: Clinical Pharmacist, Clinical
25    Psychologist, Dentist 1, Dentist 2, Educator (Options A, B,
26    C, and E), Hearing and Speech Specialist, Licensed

 

 

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1    Practical Nurse 1, Licensed Practical Nurse 2,
2    Nutritionist, Occupational Therapist, Occupational
3    Therapist Program Coordinator, Occupational Therapist
4    Supervisor, Pharmacy Lead Technician, Pharmacy Manager,
5    Pharmacy Technician, Physical therapist, Public Service
6    Administrator (Options 8C, 8J, 8K, 8O, 8P, 8S, 8T, 8U, 8V,
7    and 9A), Senior Public Service Administrator (Options 8K,
8    8O, 8P, 8S, and 8T), Social Worker 4, and Staff Pharmacist.
9        (6) All positions established outside the geographical
10    limits of the State of Illinois to which appointments of
11    other than Illinois citizens may be made are exempt from
12    jurisdiction B.
13        (7) Staff attorneys reporting directly to individual
14    Commissioners of the Illinois Workers' Compensation
15    Commission are exempt from jurisdiction B.
16        (8) Twenty-one senior public service administrator
17    positions within the Department of Healthcare and Family
18    Services, as set forth in this paragraph (8), requiring the
19    specific knowledge of healthcare administration,
20    healthcare finance, healthcare data analytics, or
21    information technology described are exempt from
22    jurisdiction B only to the extent that the requirements of
23    Sections 8b.1, 8b.3, and 8b.5 of this Code need not be met.
24    The General Assembly finds that these positions are all
25    senior policy makers and have spokesperson authority for
26    the Director of the Department of Healthcare and Family

 

 

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1    Services. When filling positions so designated, the
2    Director of Healthcare and Family Services shall cause a
3    position description to be published which allots points to
4    various qualifications desired. After scoring qualified
5    applications, the Director shall add Veteran's Preference
6    points as enumerated in Section 8b.7 of this Code. The
7    following are the minimum qualifications for the senior
8    public service administrator positions provided for in
9    this paragraph (8):
10            (A) HEALTHCARE ADMINISTRATION.
11                Medical Director: Licensed Medical Doctor in
12            good standing; experience in healthcare payment
13            systems, pay for performance initiatives, medical
14            necessity criteria or federal or State quality
15            improvement programs; preferred experience serving
16            Medicaid patients or experience in population
17            health programs with a large provider, health
18            insurer, government agency, or research
19            institution.
20                Chief, Bureau of Quality Management: Advanced
21            degree in health policy or health professional
22            field preferred; at least 3 years experience in
23            implementing or managing healthcare quality
24            improvement initiatives in a clinical setting.
25                Quality Management Bureau: Manager, Care
26            Coordination/Managed Care Quality: Clinical degree

 

 

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1            or advanced degree in relevant field required;
2            experience in the field of managed care quality
3            improvement, with knowledge of HEDIS measurements,
4            coding, and related data definitions.
5                Quality Management Bureau: Manager, Primary
6            Care Provider Quality and Practice Development:
7            Clinical degree or advanced degree in relevant
8            field required; experience in practice
9            administration in the primary care setting with a
10            provider or a provider association or an
11            accrediting body; knowledge of practice standards
12            for medical homes and best evidence based
13            standards of care for primary care.
14                Director of Care Coordination Contracts and
15            Compliance: Bachelor's degree required; multi-year
16            experience in negotiating managed care contracts,
17            preferably on behalf of a payer; experience with
18            health care contract compliance.
19                Manager, Long Term Care Policy: Bachelor's
20            degree required; social work, gerontology, or
21            social service degree preferred; knowledge of
22            Olmstead and other relevant court decisions
23            required; experience working with diverse long
24            term care populations and service systems, federal
25            initiatives to create long term care community
26            options, and home and community-based waiver

 

 

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1            services required. The General Assembly finds that
2            this position is necessary for the timely and
3            effective implementation of this amendatory Act of
4            the 97th General Assembly.
5                Manager, Behavioral Health Programs: Clinical
6            license or Advanced degree required, preferably in
7            psychology, social work, or relevant field;
8            knowledge of medical necessity criteria and
9            governmental policies and regulations governing
10            the provision of mental health services to
11            Medicaid populations, including children and
12            adults, in community and institutional settings of
13            care. The General Assembly finds that this
14            position is necessary for the timely and effective
15            implementation of this amendatory Act of the 97th
16            General Assembly.
17                Manager, Office of Accountable Care Entity
18            Development: Bachelor's degree required, clinical
19            degree or advanced degree in relevant field
20            preferred; experience in developing integrated
21            delivery systems, including knowledge of health
22            homes and evidence-based standards of care
23            delivery; multi-year experience in health care or
24            public health management; knowledge of federal ACO
25            or other similar delivery system requirements and
26            strategies for improving health care delivery.

 

 

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1                Manager of Federal Regulatory Compliance:
2            Bachelor's degree required, advanced degree
3            preferred, in healthcare management or relevant
4            field; experience in healthcare administration or
5            Medicaid State Plan amendments preferred;
6            experience interpreting federal rules; experience
7            with either federal health care agency or with a
8            State agency in working with federal regulations.
9                Manager, Office of Medical Project Management:
10            Bachelor's degree required, project management
11            certification preferred; multi-year experience in
12            project management and developing business analyst
13            skills; leadership skills to manage multiple and
14            complex projects.
15                Manager of Medicare/Medicaid Coordination:
16            Bachelor's degree required, knowledge and
17            experience with Medicare Advantage rules and
18            regulations, knowledge of Medicaid laws and
19            policies; experience with contract drafting
20            preferred.
21                Chief, Bureau of Eligibility Integrity:
22            Bachelor's degree required, advanced degree in
23            public administration or business administration
24            preferred; experience equivalent to 4 years of
25            administration in a public or business
26            organization required; experience with managing

 

 

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1            contract compliance required; knowledge of
2            Medicaid eligibility laws and policy preferred;
3            supervisory experience preferred. The General
4            Assembly finds that this position is necessary for
5            the timely and effective implementation of this
6            amendatory Act of the 97th General Assembly.
7            (B) HEALTHCARE FINANCE.
8                Director of Care Coordination Rate and
9            Finance: MBA, CPA, or Actuarial degree required;
10            experience in managed care rate setting,
11            including, but not limited to, baseline costs and
12            growth trends; knowledge and experience with
13            Medical Loss Ratio standards and measurements.
14                Director of Encounter Data Program: Bachelor's
15            degree required, advanced degree preferred,
16            preferably in health care, business, or
17            information systems; at least 2 years healthcare
18            or other similar data reporting experience,
19            including, but not limited to, data definitions,
20            submission, and editing; background in HIPAA
21            transactions relevant to encounter data
22            submission; experience with large provider, health
23            insurer, government agency, or research
24            institution or other knowledge of healthcare
25            claims systems.
26                Manager of Medical Finance, Division of

 

 

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1            Finance: Requires relevant advanced degree or
2            certification in relevant field, such as Certified
3            Public Accountant; coursework in business or
4            public administration, accounting, finance, data
5            analysis, or statistics preferred; experience in
6            control systems and GAAP; financial management
7            experience in a healthcare or government entity
8            utilizing Medicaid funding.
9            (C) HEALTHCARE DATA ANALYTICS.
10                Data Quality Assurance Manager: Bachelor's
11            degree required, advanced degree preferred,
12            preferably in business, information systems, or
13            epidemiology; at least 3 years of extensive
14            healthcare data reporting experience with a large
15            provider, health insurer, government agency, or
16            research institution; previous data quality
17            assurance role or formal data quality assurance
18            training.
19                Data Analytics Unit Manager: Bachelor's degree
20            required, advanced degree preferred, in
21            information systems, applied mathematics, or
22            another field with a strong analytics component;
23            extensive healthcare data reporting experience
24            with a large provider, health insurer, government
25            agency, or research institution; experience as a
26            business analyst interfacing between business and

 

 

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1            information technology departments; in-depth
2            knowledge of health insurance coding and evolving
3            healthcare quality metrics; working knowledge of
4            SQL and/or SAS.
5                Data Analytics Platform Manager: Bachelor's
6            degree required, advanced degree preferred,
7            preferably in business or information systems;
8            extensive healthcare data reporting experience
9            with a large provider, health insurer, government
10            agency, or research institution; previous
11            experience working on a health insurance data
12            analytics platform; experience managing contracts
13            and vendors preferred.
14            (D) HEALTHCARE INFORMATION TECHNOLOGY.
15                Manager of MMIS Claims Unit: Bachelor's degree
16            required, with preferred coursework in business,
17            public administration, information systems;
18            experience equivalent to 4 years of administration
19            in a public or business organization; working
20            knowledge with design and implementation of
21            technical solutions to medical claims payment
22            systems; extensive technical writing experience,
23            including, but not limited to, the development of
24            RFPs, APDs, feasibility studies, and related
25            documents; thorough knowledge of IT system design,
26            commercial off the shelf software packages and

 

 

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1            hardware components.
2                Assistant Bureau Chief, Office of Information
3            Systems: Bachelor's degree required, with
4            preferred coursework in business, public
5            administration, information systems; experience
6            equivalent to 5 years of administration in a public
7            or private business organization; extensive
8            technical writing experience, including, but not
9            limited to, the development of RFPs, APDs,
10            feasibility studies and related documents;
11            extensive healthcare technology experience with a
12            large provider, health insurer, government agency,
13            or research institution; experience as a business
14            analyst interfacing between business and
15            information technology departments; thorough
16            knowledge of IT system design, commercial off the
17            shelf software packages and hardware components.
18                Technical System Architect: Bachelor's degree
19            required, with preferred coursework in computer
20            science or information technology; prior
21            experience equivalent to 5 years of computer
22            science or IT administration in a public or
23            business organization; extensive healthcare
24            technology experience with a large provider,
25            health insurer, government agency, or research
26            institution; experience as a business analyst

 

 

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1            interfacing between business and information
2            technology departments.
3    The provisions of this paragraph (8), other than this
4    sentence, are inoperative after January 1, 2014.
5(Source: P.A. 98-104, eff. 7-22-13; 98-1146, eff. 12-30-14;
699-45, eff. 7-15-15.)