Public Act 099-0045
 
SB0220 EnrolledLRB099 03166 NHT 23174 b



    AN ACT concerning education.

 
    Be it enacted by the People of the State of Illinois,
 
represented in the General Assembly:



 
    Section 5. The Personnel Code is amended  by changing 
Section 4d as follows:
 



    (20 ILCS 415/4d)  (from Ch. 127, par. 63b104d)



    Sec. 4d. Partial exemptions. The following positions in 
State service are
exempt from jurisdictions A, B, and C to the 
extent stated for each, unless
those jurisdictions are extended 
as provided in this Act:

        (1) In each department, board or commission that now 
    maintains or may
hereafter maintain a major administrative 
    division, service or office in
both Sangamon County and 
    Cook County, 2 private secretaries for the
director or 
    chairman thereof, one located in the Cook County office and 
    the
other located in the Sangamon County office, shall be 
    exempt from
jurisdiction B; in all other departments, 
    boards and commissions one
private secretary for the 
    director or chairman thereof shall be exempt from

    jurisdiction B. In all departments, boards and commissions 
    one confidential
assistant for the director or chairman 
    thereof shall be exempt from
jurisdiction B. This paragraph 
    is subject to such modifications or waiver
of the 
    exemptions as may be necessary to assure the continuity of 
    federal
contributions in those agencies supported in whole 
    or in part by federal
funds.

        (2) The resident administrative head of each State 
    charitable, penal and
correctional institution, the 
    chaplains thereof, and all member, patient
and inmate 
    employees are exempt from jurisdiction B.

        (3) The Civil Service Commission, upon written 
    recommendation of the
Director of Central Management 
    Services, shall exempt
from jurisdiction B other positions

    which, in the judgment of the Commission, involve either 
    principal
administrative responsibility for the 
    determination of policy or principal
administrative 
    responsibility for the way in which policies are carried

    out, except positions in agencies which receive federal 
    funds if such
exemption is inconsistent with federal 
    requirements, and except positions
in agencies supported 
    in whole by federal funds.

        (4) All beauticians and teachers of beauty culture and 
    teachers of
barbering, and all positions heretofore paid 
    under Section 1.22 of "An Act
to standardize position 
    titles and salary rates", approved June 30, 1943,
as 
    amended, shall be exempt from jurisdiction B.

        (5) Licensed attorneys in positions as legal or 
    technical advisors; , positions in the Department of 
    Natural Resources requiring incumbents
to be either a 
    registered professional engineer or to hold a bachelor's 
    degree
in engineering from a recognized college or 
    university; ,
licensed physicians in positions of medical 
    administrator or physician or
physician specialist 
    (including psychiatrists); , all positions within the 
    Department of Juvenile Justice requiring licensure by the 
    State Board of Education under Article 21B of the School 
    Code; from the effective date of this amendatory Act of the 
    99th General Assembly until January 1, 2017, all positions 
    within the Illinois School for the Deaf and the Illinois 
    School for the Visually Impaired requiring licensure by the 
    State Board of Education under Article 21B of the School 
    Code; ,  and registered nurses (except
those registered 
    nurses employed by the Department of Public Health); , 
    except
those in positions in agencies which receive federal 
    funds if such
exemption is inconsistent with federal 
    requirements and except those in
positions in agencies 
    supported in whole by federal funds, are exempt from

    jurisdiction B only to the extent that the requirements of 
    Section 8b.1,
8b.3 and 8b.5 of this Code need not be met.

        (6) All positions established outside the geographical 
    limits of the
State of Illinois to which appointments of 
    other than Illinois citizens may
be made are exempt from 
    jurisdiction B.

        (7) Staff attorneys reporting directly to individual 
    Commissioners of
the Illinois Workers' Compensation


    Commission are exempt from jurisdiction B.

        (8) Twenty-one senior public service administrator 
    positions within the Department of Healthcare and Family 
    Services, as set forth in this paragraph (8), requiring the 
    specific knowledge of healthcare administration, 
    healthcare finance, healthcare data analytics, or 
    information technology described are exempt from 
    jurisdiction B only to the extent that the requirements of 
    Sections 8b.1, 8b.3, and 8b.5 of this Code need not be met. 
    The General Assembly finds that these positions are all 
    senior policy makers and have spokesperson authority for 
    the Director of the Department of Healthcare and Family 
    Services. When filling positions so designated, the 
    Director of Healthcare and Family Services shall cause a 
    position description to be published which allots points to 
    various qualifications desired.  After scoring qualified 
    applications, the Director shall add Veteran's Preference 
    points as enumerated in Section 8b.7 of this Code. The 
    following are the minimum qualifications for the senior 
    public service administrator positions provided for in 
    this paragraph (8):
            (A) HEALTHCARE ADMINISTRATION.
                Medical Director: Licensed Medical Doctor in 
            good standing; experience in healthcare payment 
            systems, pay for performance initiatives, medical 
            necessity criteria or federal or State quality 
            improvement programs; preferred experience serving 
            Medicaid patients or experience in population 
            health programs with a large provider, health 
            insurer, government agency, or research 
            institution.
                Chief, Bureau of Quality Management:  Advanced 
            degree in health policy or health professional 
            field preferred; at least 3 years experience in 
            implementing or managing healthcare quality 
            improvement initiatives in a clinical setting.
                Quality Management Bureau:  Manager, Care 
            Coordination/Managed Care Quality:  Clinical degree 
            or advanced degree in relevant field required; 
            experience in the field of managed care quality 
            improvement, with knowledge of HEDIS measurements, 
            coding, and related data definitions.
                Quality Management Bureau:  Manager, Primary 
            Care Provider Quality and Practice Development:  
            Clinical degree or advanced degree in relevant 
            field required; experience in practice 
            administration in the primary care setting with a 
            provider or a provider association or an 
            accrediting body; knowledge of practice standards 
            for medical homes and best evidence based 
            standards of care for primary care.
                Director of Care Coordination Contracts and 
            Compliance:  Bachelor's degree required;  multi-year 
            experience in negotiating managed care contracts, 
            preferably on behalf of a payer; experience with 
            health care contract compliance.
                Manager, Long Term Care Policy:  Bachelor's 
            degree required; social work, gerontology, or 
            social service degree preferred; knowledge of 
            Olmstead and other relevant court decisions 
            required;  experience working with  diverse long 
            term care populations and service systems,  federal 
            initiatives to create long term care community 
            options, and home and community-based waiver 
            services required. The General Assembly finds that 
            this position is necessary for the timely and 
            effective implementation of this amendatory Act of 
            the 97th General Assembly. 
                Manager, Behavioral Health Programs:  Clinical 
            license or Advanced degree required, preferably in 
            psychology, social work, or relevant field; 
            knowledge of  medical necessity criteria and 
            governmental policies and regulations governing 
            the provision of mental health services to 
            Medicaid populations, including children and 
            adults, in community and institutional settings of 
            care. The General Assembly finds that this 
            position is necessary for the timely and effective 
            implementation of this amendatory Act of the 97th 
            General Assembly. 
                Manager, Office of Accountable Care Entity 
            Development:  Bachelor's degree required, clinical 
            degree or advanced degree in relevant field 
            preferred; experience in developing integrated 
            delivery systems, including knowledge of health 
            homes and evidence-based standards of care 
            delivery; multi-year experience in health care or 
            public health management; knowledge of federal ACO 
            or other similar delivery system requirements and 
            strategies for improving health care delivery.
                Manager of Federal Regulatory Compliance:  
            Bachelor's degree required, advanced degree 
            preferred, in healthcare management or relevant 
            field; experience in healthcare administration or 
            Medicaid State Plan amendments preferred; 
            experience interpreting federal rules; experience 
            with either federal health care agency or with a 
            State agency in working with federal regulations.
                Manager, Office of Medical Project Management: 
            Bachelor's degree required, project management 
            certification preferred; multi-year experience in 
            project management and developing business analyst 
            skills; leadership skills to manage multiple and 
            complex projects. 
                Manager of Medicare/Medicaid Coordination:  
            Bachelor's degree required, knowledge and 
            experience with Medicare Advantage rules and 
            regulations, knowledge of Medicaid laws and 
            policies; experience with contract drafting 
            preferred.
                Chief, Bureau of Eligibility Integrity: 
            Bachelor's degree required, advanced degree in 
            public administration or business administration 
            preferred; experience equivalent to 4 years of 
            administration in a public or business 
            organization required; experience with managing 
            contract compliance required; knowledge of 
            Medicaid eligibility laws and policy preferred; 
            supervisory experience preferred. The General 
            Assembly finds that this position is necessary for 
            the timely and effective implementation of this 
            amendatory Act of the 97th General Assembly. 
            (B) HEALTHCARE FINANCE.
                Director of Care Coordination Rate and 
            Finance: MBA, CPA, or Actuarial degree required; 
            experience in managed care rate setting, 
            including, but not limited to, baseline costs and 
            growth trends; knowledge and experience with 
            Medical Loss Ratio standards and measurements.
                Director of Encounter Data Program: Bachelor's 
            degree required, advanced degree preferred, 
            preferably in health care, business, or 
            information systems; at least 2 years healthcare 
            or other similar data reporting experience, 
            including, but not limited to, data definitions, 
            submission, and editing; background in HIPAA 
            transactions relevant to encounter data 
            submission; experience with large provider, health 
            insurer, government agency, or research 
            institution or other knowledge of healthcare 
            claims systems.
                Manager of Medical Finance, Division of 
            Finance:  Requires relevant advanced degree or 
            certification in relevant field, such as Certified 
            Public Accountant; coursework in business or 
            public administration, accounting, finance, data 
            analysis, or statistics preferred; experience in 
            control systems and GAAP; financial management 
            experience in a healthcare or government entity 
            utilizing Medicaid funding.
            (C) HEALTHCARE DATA ANALYTICS.
                Data Quality Assurance Manager: Bachelor's 
            degree required, advanced degree preferred, 
            preferably in business, information systems, or 
            epidemiology; at least 3 years of extensive 
            healthcare data reporting experience with a large 
            provider, health insurer, government agency, or 
            research institution; previous data quality 
            assurance role or formal data quality assurance 
            training.
                Data Analytics Unit Manager:  Bachelor's degree 
            required, advanced degree preferred, in 
            information systems, applied mathematics, or 
            another field with a strong analytics component; 
            extensive healthcare data reporting experience 
            with a large provider, health insurer, government 
            agency, or research institution; experience as a 
            business analyst interfacing between business and 
            information technology departments; in-depth 
            knowledge of health insurance coding and evolving 
            healthcare quality metrics; working knowledge of 
            SQL and/or SAS.
                Data Analytics Platform Manager: Bachelor's 
            degree required, advanced degree preferred, 
            preferably in business or information systems; 
            extensive healthcare data reporting experience 
            with a large provider, health insurer, government 
            agency, or research institution; previous 
            experience working on a health insurance data 
            analytics platform; experience managing contracts 
            and vendors preferred.
            (D) HEALTHCARE INFORMATION TECHNOLOGY.
                Manager of MMIS Claims Unit: Bachelor's degree 
            required, with preferred coursework in business, 
            public administration, information systems; 
            experience equivalent to 4 years of administration  
            in a public or business organization; working 
            knowledge with design and implementation of 
            technical solutions to medical claims payment 
            systems; extensive technical writing experience, 
            including, but not limited to, the development of 
            RFPs, APDs, feasibility studies, and related 
            documents; thorough knowledge of IT system design, 
            commercial off the shelf software packages and 
            hardware components.
                Assistant Bureau Chief, Office of Information 
            Systems:  Bachelor's degree required, with 
            preferred coursework in business, public 
            administration, information systems;  experience 
            equivalent to 5 years of administration in a public 
            or private business organization; extensive 
            technical writing experience, including, but not 
            limited to, the development of RFPs, APDs, 
            feasibility studies and related documents; 
            extensive healthcare technology experience with a 
            large provider, health insurer, government agency, 
            or research institution; experience as a business 
            analyst interfacing between business and 
            information technology departments; thorough 
            knowledge of IT system design, commercial off the 
            shelf software packages and hardware components.
                Technical System Architect:  Bachelor's degree 
            required, with preferred coursework in computer 
            science or information technology; prior 
            experience equivalent to 5 years of computer 
            science or IT administration in a public or 
            business organization; extensive healthcare 
            technology experience with a large provider, 
            health insurer, government agency, or research 
            institution; experience as a business analyst 
            interfacing between business and information 
            technology departments.
    The provisions of this paragraph (8), other than this 
    sentence, are inoperative after January 1, 2014. 
(Source: P.A. 97-649, eff. 12-30-11; 97-689, eff. 6-14-12; 
98-104, eff. 7-22-13; 98-1146, eff. 12-30-14.)


 
    Section 99. Effective date. This Act takes effect upon 
becoming law.