SB2992 EnrolledLRB098 17794 RLC 52916 b


  
1    AN ACT concerning criminal law.
  
 
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, and 
8    registered nurses (except
those registered nurses employed 
9    by the Department of Public Health), except
those in 
10    positions in agencies which receive federal funds if such

11    exemption is inconsistent with federal requirements and 
12    except those in
positions in agencies supported in whole by 
13    federal funds, are exempt from
jurisdiction B only to the 
14    extent that the requirements of Section 8b.1,
8b.3 and 8b.5 
15    of this Code need not be met.

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

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


22    Commission are exempt from jurisdiction B.

23        (8) Twenty-one senior public service administrator 
24    positions within the Department of Healthcare and Family 
25    Services, as set forth in this paragraph (8), requiring the 
26    specific knowledge of healthcare administration, 
 
 
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1    healthcare finance, healthcare data analytics, or 
2    information technology described are exempt from 
3    jurisdiction B only to the extent that the requirements of 
4    Sections 8b.1, 8b.3, and 8b.5 of this Code need not be met. 
5    The General Assembly finds that these positions are all 
6    senior policy makers and have spokesperson authority for 
7    the Director of the Department of Healthcare and Family 
8    Services. When filling positions so designated, the 
9    Director of Healthcare and Family Services shall cause a 
10    position description to be published which allots points to 
11    various qualifications desired.  After scoring qualified 
12    applications, the Director shall add Veteran's Preference 
13    points as enumerated in Section 8b.7 of this Code. The 
14    following are the minimum qualifications for the senior 
15    public service administrator positions provided for in 
16    this paragraph (8):
17            (A) HEALTHCARE ADMINISTRATION.
18                Medical Director: Licensed Medical Doctor in 
19            good standing; experience in healthcare payment 
20            systems, pay for performance initiatives, medical 
21            necessity criteria or federal or State quality 
22            improvement programs; preferred experience serving 
23            Medicaid patients or experience in population 
24            health programs with a large provider, health 
25            insurer, government agency, or research 
26            institution.
 
 
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1                Chief, Bureau of Quality Management:  Advanced 
2            degree in health policy or health professional 
3            field preferred; at least 3 years experience in 
4            implementing or managing healthcare quality 
5            improvement initiatives in a clinical setting.
6                Quality Management Bureau:  Manager, Care 
7            Coordination/Managed Care Quality:  Clinical degree 
8            or advanced degree in relevant field required; 
9            experience in the field of managed care quality 
10            improvement, with knowledge of HEDIS measurements, 
11            coding, and related data definitions.
12                Quality Management Bureau:  Manager, Primary 
13            Care Provider Quality and Practice Development:  
14            Clinical degree or advanced degree in relevant 
15            field required; experience in practice 
16            administration in the primary care setting with a 
17            provider or a provider association or an 
18            accrediting body; knowledge of practice standards 
19            for medical homes and best evidence based 
20            standards of care for primary care.
21                Director of Care Coordination Contracts and 
22            Compliance:  Bachelor's degree required;  multi-year 
23            experience in negotiating managed care contracts, 
24            preferably on behalf of a payer; experience with 
25            health care contract compliance.
26                Manager, Long Term Care Policy:  Bachelor's 
 
 
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1            degree required; social work, gerontology, or 
2            social service degree preferred; knowledge of 
3            Olmstead and other relevant court decisions 
4            required;  experience working with  diverse long 
5            term care populations and service systems,  federal 
6            initiatives to create long term care community 
7            options, and home and community-based waiver 
8            services required. The General Assembly finds that 
9            this position is necessary for the timely and 
10            effective implementation of this amendatory Act of 
11            the 97th General Assembly. 
12                Manager, Behavioral Health Programs:  Clinical 
13            license or Advanced degree required, preferably in 
14            psychology, social work, or relevant field; 
15            knowledge of  medical necessity criteria and 
16            governmental policies and regulations governing 
17            the provision of mental health services to 
18            Medicaid populations, including children and 
19            adults, in community and institutional settings of 
20            care. The General Assembly finds that this 
21            position is necessary for the timely and effective 
22            implementation of this amendatory Act of the 97th 
23            General Assembly. 
24                Manager, Office of Accountable Care Entity 
25            Development:  Bachelor's degree required, clinical 
26            degree or advanced degree in relevant field 
 
 
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1            preferred; experience in developing integrated 
2            delivery systems, including knowledge of health 
3            homes and evidence-based standards of care 
4            delivery; multi-year experience in health care or 
5            public health management; knowledge of federal ACO 
6            or other similar delivery system requirements and 
7            strategies for improving health care delivery.
8                Manager of Federal Regulatory Compliance:  
9            Bachelor's degree required, advanced degree 
10            preferred, in healthcare management or relevant 
11            field; experience in healthcare administration or 
12            Medicaid State Plan amendments preferred; 
13            experience interpreting federal rules; experience 
14            with either federal health care agency or with a 
15            State agency in working with federal regulations.
16                Manager, Office of Medical Project Management: 
17            Bachelor's degree required, project management 
18            certification preferred; multi-year experience in 
19            project management and developing business analyst 
20            skills; leadership skills to manage multiple and 
21            complex projects. 
22                Manager of Medicare/Medicaid Coordination:  
23            Bachelor's degree required, knowledge and 
24            experience with Medicare Advantage rules and 
25            regulations, knowledge of Medicaid laws and 
26            policies; experience with contract drafting 
 
 
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1            preferred.
2                Chief, Bureau of Eligibility Integrity: 
3            Bachelor's degree required, advanced degree in 
4            public administration or business administration 
5            preferred; experience equivalent to 4 years of 
6            administration in a public or business 
7            organization required; experience with managing 
8            contract compliance required; knowledge of 
9            Medicaid eligibility laws and policy preferred; 
10            supervisory experience preferred. The General 
11            Assembly finds that this position is necessary for 
12            the timely and effective implementation of this 
13            amendatory Act of the 97th General Assembly. 
14            (B) HEALTHCARE FINANCE.
15                Director of Care Coordination Rate and 
16            Finance: MBA, CPA, or Actuarial degree required; 
17            experience in managed care rate setting, 
18            including, but not limited to, baseline costs and 
19            growth trends; knowledge and experience with 
20            Medical Loss Ratio standards and measurements.
21                Director of Encounter Data Program: Bachelor's 
22            degree required, advanced degree preferred, 
23            preferably in health care, business, or 
24            information systems; at least 2 years healthcare 
25            or other similar data reporting experience, 
26            including, but not limited to, data definitions, 
 
 
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1            submission, and editing; background in HIPAA 
2            transactions relevant to encounter data 
3            submission; experience with large provider, health 
4            insurer, government agency, or research 
5            institution or other knowledge of healthcare 
6            claims systems.
7                Manager of Medical Finance, Division of 
8            Finance:  Requires relevant advanced degree or 
9            certification in relevant field, such as Certified 
10            Public Accountant; coursework in business or 
11            public administration, accounting, finance, data 
12            analysis, or statistics preferred; experience in 
13            control systems and GAAP; financial management 
14            experience in a healthcare or government entity 
15            utilizing Medicaid funding.
16            (C) HEALTHCARE DATA ANALYTICS.
17                Data Quality Assurance Manager: Bachelor's 
18            degree required, advanced degree preferred, 
19            preferably in business, information systems, or 
20            epidemiology; at least 3 years of extensive 
21            healthcare data reporting experience with a large 
22            provider, health insurer, government agency, or 
23            research institution; previous data quality 
24            assurance role or formal data quality assurance 
25            training.
26                Data Analytics Unit Manager:  Bachelor's degree 
 
 
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1            required, advanced degree preferred, in 
2            information systems, applied mathematics, or 
3            another field with a strong analytics component; 
4            extensive healthcare data reporting experience 
5            with a large provider, health insurer, government 
6            agency, or research institution; experience as a 
7            business analyst interfacing between business and 
8            information technology departments; in-depth 
9            knowledge of health insurance coding and evolving 
10            healthcare quality metrics; working knowledge of 
11            SQL and/or SAS.
12                Data Analytics Platform Manager: Bachelor's 
13            degree required, advanced degree preferred, 
14            preferably in business or information systems; 
15            extensive healthcare data reporting experience 
16            with a large provider, health insurer, government 
17            agency, or research institution; previous 
18            experience working on a health insurance data 
19            analytics platform; experience managing contracts 
20            and vendors preferred.
21            (D) HEALTHCARE INFORMATION TECHNOLOGY.
22                Manager of MMIS Claims Unit: Bachelor's degree 
23            required, with preferred coursework in business, 
24            public administration, information systems; 
25            experience equivalent to 4 years of administration  
26            in a public or business organization; working 
 
 
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1            knowledge with design and implementation of 
2            technical solutions to medical claims payment 
3            systems; extensive technical writing experience, 
4            including, but not limited to, the development of 
5            RFPs, APDs, feasibility studies, and related 
6            documents; thorough knowledge of IT system design, 
7            commercial off the shelf software packages and 
8            hardware components.
9                Assistant Bureau Chief, Office of Information 
10            Systems:  Bachelor's degree required, with 
11            preferred coursework in business, public 
12            administration, information systems;  experience 
13            equivalent to 5 years of administration in a public 
14            or private business organization; extensive 
15            technical writing experience, including, but not 
16            limited to, the development of RFPs, APDs, 
17            feasibility studies and related documents; 
18            extensive healthcare technology experience with a 
19            large provider, health insurer, government agency, 
20            or research institution; experience as a business 
21            analyst interfacing between business and 
22            information technology departments; thorough 
23            knowledge of IT system design, commercial off the 
24            shelf software packages and hardware components.
25                Technical System Architect:  Bachelor's degree 
26            required, with preferred coursework in computer 
 
 
SB2992 Enrolled- 12 -LRB098 17794 RLC 52916 b

1            science or information technology; prior 
2            experience equivalent to 5 years of computer 
3            science or IT administration in a public or 
4            business organization; extensive healthcare 
5            technology experience with a large provider, 
6            health insurer, government agency, or research 
7            institution; experience as a business analyst 
8            interfacing between business and information 
9            technology departments.
10    The provisions of this paragraph (8), other than this 
11    sentence, are inoperative after January 1, 2014. 
12(Source: P.A. 97-649, eff. 12-30-11; 97-689, eff. 6-14-12; 
1398-104, eff. 7-22-13.)


 

14    Section 99. Effective date. This Act takes effect upon 
15becoming law.