SB0220 EnrolledLRB099 03166 NHT 23174 b

1    AN ACT concerning education.
 
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
26    Natural Resources requiring incumbents to be either a

 

 

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1    registered professional engineer or to hold a bachelor's
2    degree in engineering from a recognized college or
3    university; , licensed physicians in positions of medical
4    administrator or physician or physician specialist
5    (including psychiatrists); , all positions within the
6    Department of Juvenile Justice requiring licensure by the
7    State Board of Education under Article 21B of the School
8    Code; from the effective date of this amendatory Act of the
9    99th General Assembly until January 1, 2017, all positions
10    within the Illinois School for the Deaf and the Illinois
11    School for the Visually Impaired requiring licensure by the
12    State Board of Education under Article 21B of the School
13    Code; , and registered nurses (except those registered
14    nurses employed by the Department of Public Health); ,
15    except those in positions in agencies which receive federal
16    funds if such exemption is inconsistent with federal
17    requirements and except those in positions in agencies
18    supported in whole by federal funds, are exempt from
19    jurisdiction B only to the extent that the requirements of
20    Section 8b.1, 8b.3 and 8b.5 of this Code need not be met.
21        (6) All positions established outside the geographical
22    limits of the State of Illinois to which appointments of
23    other than Illinois citizens may be made are exempt from
24    jurisdiction B.
25        (7) Staff attorneys reporting directly to individual
26    Commissioners of the Illinois Workers' Compensation

 

 

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1    Commission are exempt from jurisdiction B.
2        (8) Twenty-one senior public service administrator
3    positions within the Department of Healthcare and Family
4    Services, as set forth in this paragraph (8), requiring the
5    specific knowledge of healthcare administration,
6    healthcare finance, healthcare data analytics, or
7    information technology described are exempt from
8    jurisdiction B only to the extent that the requirements of
9    Sections 8b.1, 8b.3, and 8b.5 of this Code need not be met.
10    The General Assembly finds that these positions are all
11    senior policy makers and have spokesperson authority for
12    the Director of the Department of Healthcare and Family
13    Services. When filling positions so designated, the
14    Director of Healthcare and Family Services shall cause a
15    position description to be published which allots points to
16    various qualifications desired. After scoring qualified
17    applications, the Director shall add Veteran's Preference
18    points as enumerated in Section 8b.7 of this Code. The
19    following are the minimum qualifications for the senior
20    public service administrator positions provided for in
21    this paragraph (8):
22            (A) HEALTHCARE ADMINISTRATION.
23                Medical Director: Licensed Medical Doctor in
24            good standing; experience in healthcare payment
25            systems, pay for performance initiatives, medical
26            necessity criteria or federal or State quality

 

 

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1            improvement programs; preferred experience serving
2            Medicaid patients or experience in population
3            health programs with a large provider, health
4            insurer, government agency, or research
5            institution.
6                Chief, Bureau of Quality Management: Advanced
7            degree in health policy or health professional
8            field preferred; at least 3 years experience in
9            implementing or managing healthcare quality
10            improvement initiatives in a clinical setting.
11                Quality Management Bureau: Manager, Care
12            Coordination/Managed Care Quality: Clinical degree
13            or advanced degree in relevant field required;
14            experience in the field of managed care quality
15            improvement, with knowledge of HEDIS measurements,
16            coding, and related data definitions.
17                Quality Management Bureau: Manager, Primary
18            Care Provider Quality and Practice Development:
19            Clinical degree or advanced degree in relevant
20            field required; experience in practice
21            administration in the primary care setting with a
22            provider or a provider association or an
23            accrediting body; knowledge of practice standards
24            for medical homes and best evidence based
25            standards of care for primary care.
26                Director of Care Coordination Contracts and

 

 

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1            Compliance: Bachelor's degree required; multi-year
2            experience in negotiating managed care contracts,
3            preferably on behalf of a payer; experience with
4            health care contract compliance.
5                Manager, Long Term Care Policy: Bachelor's
6            degree required; social work, gerontology, or
7            social service degree preferred; knowledge of
8            Olmstead and other relevant court decisions
9            required; experience working with diverse long
10            term care populations and service systems, federal
11            initiatives to create long term care community
12            options, and home and community-based waiver
13            services required. The General Assembly finds that
14            this position is necessary for the timely and
15            effective implementation of this amendatory Act of
16            the 97th General Assembly.
17                Manager, Behavioral Health Programs: Clinical
18            license or Advanced degree required, preferably in
19            psychology, social work, or relevant field;
20            knowledge of medical necessity criteria and
21            governmental policies and regulations governing
22            the provision of mental health services to
23            Medicaid populations, including children and
24            adults, in community and institutional settings of
25            care. The General Assembly finds that this
26            position is necessary for the timely and effective

 

 

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1            implementation of this amendatory Act of the 97th
2            General Assembly.
3                Manager, Office of Accountable Care Entity
4            Development: Bachelor's degree required, clinical
5            degree or advanced degree in relevant field
6            preferred; experience in developing integrated
7            delivery systems, including knowledge of health
8            homes and evidence-based standards of care
9            delivery; multi-year experience in health care or
10            public health management; knowledge of federal ACO
11            or other similar delivery system requirements and
12            strategies for improving health care delivery.
13                Manager of Federal Regulatory Compliance:
14            Bachelor's degree required, advanced degree
15            preferred, in healthcare management or relevant
16            field; experience in healthcare administration or
17            Medicaid State Plan amendments preferred;
18            experience interpreting federal rules; experience
19            with either federal health care agency or with a
20            State agency in working with federal regulations.
21                Manager, Office of Medical Project Management:
22            Bachelor's degree required, project management
23            certification preferred; multi-year experience in
24            project management and developing business analyst
25            skills; leadership skills to manage multiple and
26            complex projects.

 

 

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1                Manager of Medicare/Medicaid Coordination:
2            Bachelor's degree required, knowledge and
3            experience with Medicare Advantage rules and
4            regulations, knowledge of Medicaid laws and
5            policies; experience with contract drafting
6            preferred.
7                Chief, Bureau of Eligibility Integrity:
8            Bachelor's degree required, advanced degree in
9            public administration or business administration
10            preferred; experience equivalent to 4 years of
11            administration in a public or business
12            organization required; experience with managing
13            contract compliance required; knowledge of
14            Medicaid eligibility laws and policy preferred;
15            supervisory experience preferred. The General
16            Assembly finds that this position is necessary for
17            the timely and effective implementation of this
18            amendatory Act of the 97th General Assembly.
19            (B) HEALTHCARE FINANCE.
20                Director of Care Coordination Rate and
21            Finance: MBA, CPA, or Actuarial degree required;
22            experience in managed care rate setting,
23            including, but not limited to, baseline costs and
24            growth trends; knowledge and experience with
25            Medical Loss Ratio standards and measurements.
26                Director of Encounter Data Program: Bachelor's

 

 

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1            degree required, advanced degree preferred,
2            preferably in health care, business, or
3            information systems; at least 2 years healthcare
4            or other similar data reporting experience,
5            including, but not limited to, data definitions,
6            submission, and editing; background in HIPAA
7            transactions relevant to encounter data
8            submission; experience with large provider, health
9            insurer, government agency, or research
10            institution or other knowledge of healthcare
11            claims systems.
12                Manager of Medical Finance, Division of
13            Finance: Requires relevant advanced degree or
14            certification in relevant field, such as Certified
15            Public Accountant; coursework in business or
16            public administration, accounting, finance, data
17            analysis, or statistics preferred; experience in
18            control systems and GAAP; financial management
19            experience in a healthcare or government entity
20            utilizing Medicaid funding.
21            (C) HEALTHCARE DATA ANALYTICS.
22                Data Quality Assurance Manager: Bachelor's
23            degree required, advanced degree preferred,
24            preferably in business, information systems, or
25            epidemiology; at least 3 years of extensive
26            healthcare data reporting experience with a large

 

 

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1            provider, health insurer, government agency, or
2            research institution; previous data quality
3            assurance role or formal data quality assurance
4            training.
5                Data Analytics Unit Manager: Bachelor's degree
6            required, advanced degree preferred, in
7            information systems, applied mathematics, or
8            another field with a strong analytics component;
9            extensive healthcare data reporting experience
10            with a large provider, health insurer, government
11            agency, or research institution; experience as a
12            business analyst interfacing between business and
13            information technology departments; in-depth
14            knowledge of health insurance coding and evolving
15            healthcare quality metrics; working knowledge of
16            SQL and/or SAS.
17                Data Analytics Platform Manager: Bachelor's
18            degree required, advanced degree preferred,
19            preferably in business or information systems;
20            extensive healthcare data reporting experience
21            with a large provider, health insurer, government
22            agency, or research institution; previous
23            experience working on a health insurance data
24            analytics platform; experience managing contracts
25            and vendors preferred.
26            (D) HEALTHCARE INFORMATION TECHNOLOGY.

 

 

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

 

 

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1            information technology departments; thorough
2            knowledge of IT system design, commercial off the
3            shelf software packages and hardware components.
4                Technical System Architect: Bachelor's degree
5            required, with preferred coursework in computer
6            science or information technology; prior
7            experience equivalent to 5 years of computer
8            science or IT administration in a public or
9            business organization; extensive healthcare
10            technology experience with a large provider,
11            health insurer, government agency, or research
12            institution; experience as a business analyst
13            interfacing between business and information
14            technology departments.
15    The provisions of this paragraph (8), other than this
16    sentence, are inoperative after January 1, 2014.
17(Source: P.A. 97-649, eff. 12-30-11; 97-689, eff. 6-14-12;
1898-104, eff. 7-22-13; 98-1146, eff. 12-30-14.)
 
19    Section 99. Effective date. This Act takes effect upon
20becoming law.