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1 | AN ACT concerning State government.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Personnel Code is amended by changing | |||||||||||||||||||
5 | Section 4d as follows:
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6 | (20 ILCS 415/4d) (from Ch. 127, par. 63b104d)
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7 | Sec. 4d. Partial exemptions. The following positions in | |||||||||||||||||||
8 | State service are
exempt from jurisdictions A, B, and C to the | |||||||||||||||||||
9 | extent stated for each, unless
those jurisdictions are extended | |||||||||||||||||||
10 | as provided in this Act:
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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
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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.
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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.
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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
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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
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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.
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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.
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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;
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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 July | ||||||
8 | 15, 2015 (the effective date of Public Act 99-45) until | ||||||
9 | August 30, 2019, all positions within the Illinois School | ||||||
10 | for the Deaf and the Illinois School for the Visually | ||||||
11 | Impaired requiring licensure by the State Board of | ||||||
12 | Education under Article 21B of the School Code and all | ||||||
13 | rehabilitation/mobility instructors and | ||||||
14 | rehabilitation/mobility instructor trainees at the | ||||||
15 | Illinois School for the Visually Impaired; and registered | ||||||
16 | nurses (except
those registered nurses employed by the | ||||||
17 | Department of Public Health); except
those in positions in | ||||||
18 | agencies which receive federal funds if such
exemption is | ||||||
19 | inconsistent with federal requirements and except those in
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20 | positions in agencies supported in whole by federal funds, | ||||||
21 | are exempt from
jurisdiction B only to the extent that the | ||||||
22 | requirements of Section 8b.1,
8b.3 and 8b.5 of this Code | ||||||
23 | need not be met.
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24 | (6) All positions established outside the geographical | ||||||
25 | limits of the
State of Illinois to which appointments of | ||||||
26 | other than Illinois citizens may
be made are exempt from |
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1 | jurisdiction B.
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2 | (7) Staff attorneys reporting directly to individual | ||||||
3 | Commissioners of
the Illinois Workers' Compensation
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4 | Commission are exempt from jurisdiction B.
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5 | (8) Twenty-one senior public service administrator | ||||||
6 | positions within the Department of Healthcare and Family | ||||||
7 | Services, as set forth in this paragraph (8), requiring the | ||||||
8 | specific knowledge of healthcare administration, | ||||||
9 | healthcare finance, healthcare data analytics, or | ||||||
10 | information technology described are exempt from | ||||||
11 | jurisdiction B only to the extent that the requirements of | ||||||
12 | Sections 8b.1, 8b.3, and 8b.5 of this Code need not be met. | ||||||
13 | The General Assembly finds that these positions are all | ||||||
14 | senior policy makers and have spokesperson authority for | ||||||
15 | the Director of the Department of Healthcare and Family | ||||||
16 | Services. When filling positions so designated, the | ||||||
17 | Director of Healthcare and Family Services shall cause a | ||||||
18 | position description to be published which allots points to | ||||||
19 | various qualifications desired. After scoring qualified | ||||||
20 | applications, the Director shall add Veteran's Preference | ||||||
21 | points as enumerated in Section 8b.7 of this Code. The | ||||||
22 | following are the minimum qualifications for the senior | ||||||
23 | public service administrator positions provided for in | ||||||
24 | this paragraph (8): | ||||||
25 | (A) HEALTHCARE ADMINISTRATION. | ||||||
26 | Medical Director: Licensed Medical Doctor in |
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1 | good standing; experience in healthcare payment | ||||||
2 | systems, pay for performance initiatives, medical | ||||||
3 | necessity criteria or federal or State quality | ||||||
4 | improvement programs; preferred experience serving | ||||||
5 | Medicaid patients or experience in population | ||||||
6 | health programs with a large provider, health | ||||||
7 | insurer, government agency, or research | ||||||
8 | institution. | ||||||
9 | Chief, Bureau of Quality Management: Advanced | ||||||
10 | degree in health policy or health professional | ||||||
11 | field preferred; at least 3 years experience in | ||||||
12 | implementing or managing healthcare quality | ||||||
13 | improvement initiatives in a clinical setting. | ||||||
14 | Quality Management Bureau: Manager, Care | ||||||
15 | Coordination/Managed Care Quality: Clinical degree | ||||||
16 | or advanced degree in relevant field required; | ||||||
17 | experience in the field of managed care quality | ||||||
18 | improvement, with knowledge of HEDIS measurements, | ||||||
19 | coding, and related data definitions. | ||||||
20 | Quality Management Bureau: Manager, Primary | ||||||
21 | Care Provider Quality and Practice Development: | ||||||
22 | Clinical degree or advanced degree in relevant | ||||||
23 | field required; experience in practice | ||||||
24 | administration in the primary care setting with a | ||||||
25 | provider or a provider association or an | ||||||
26 | accrediting body; knowledge of practice standards |
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1 | for medical homes and best evidence based | ||||||
2 | standards of care for primary care. | ||||||
3 | Director of Care Coordination Contracts and | ||||||
4 | Compliance: Bachelor's degree required; multi-year | ||||||
5 | experience in negotiating managed care contracts, | ||||||
6 | preferably on behalf of a payer; experience with | ||||||
7 | health care contract compliance. | ||||||
8 | Manager, Long Term Care Policy: Bachelor's | ||||||
9 | degree required; social work, gerontology, or | ||||||
10 | social service degree preferred; knowledge of | ||||||
11 | Olmstead and other relevant court decisions | ||||||
12 | required; experience working with diverse long | ||||||
13 | term care populations and service systems, federal | ||||||
14 | initiatives to create long term care community | ||||||
15 | options, and home and community-based waiver | ||||||
16 | services required. The General Assembly finds that | ||||||
17 | this position is necessary for the timely and | ||||||
18 | effective implementation of this amendatory Act of | ||||||
19 | the 97th General Assembly. | ||||||
20 | Manager, Behavioral Health Programs: Clinical | ||||||
21 | license or Advanced degree required, preferably in | ||||||
22 | psychology, social work, or relevant field; | ||||||
23 | knowledge of medical necessity criteria and | ||||||
24 | governmental policies and regulations governing | ||||||
25 | the provision of mental health services to | ||||||
26 | Medicaid populations, including children and |
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1 | adults, in community and institutional settings of | ||||||
2 | care. The General Assembly finds that this | ||||||
3 | position is necessary for the timely and effective | ||||||
4 | implementation of this amendatory Act of the 97th | ||||||
5 | General Assembly. | ||||||
6 | Manager, Office of Accountable Care Entity | ||||||
7 | Development: Bachelor's degree required, clinical | ||||||
8 | degree or advanced degree in relevant field | ||||||
9 | preferred; experience in developing integrated | ||||||
10 | delivery systems, including knowledge of health | ||||||
11 | homes and evidence-based standards of care | ||||||
12 | delivery; multi-year experience in health care or | ||||||
13 | public health management; knowledge of federal ACO | ||||||
14 | or other similar delivery system requirements and | ||||||
15 | strategies for improving health care delivery. | ||||||
16 | Manager of Federal Regulatory Compliance: | ||||||
17 | Bachelor's degree required, advanced degree | ||||||
18 | preferred, in healthcare management or relevant | ||||||
19 | field; experience in healthcare administration or | ||||||
20 | Medicaid State Plan amendments preferred; | ||||||
21 | experience interpreting federal rules; experience | ||||||
22 | with either federal health care agency or with a | ||||||
23 | State agency in working with federal regulations. | ||||||
24 | Manager, Office of Medical Project Management: | ||||||
25 | Bachelor's degree required, project management | ||||||
26 | certification preferred; multi-year experience in |
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1 | project management and developing business analyst | ||||||
2 | skills; leadership skills to manage multiple and | ||||||
3 | complex projects. | ||||||
4 | Manager of Medicare/Medicaid Coordination: | ||||||
5 | Bachelor's degree required, knowledge and | ||||||
6 | experience with Medicare Advantage rules and | ||||||
7 | regulations, knowledge of Medicaid laws and | ||||||
8 | policies; experience with contract drafting | ||||||
9 | preferred. | ||||||
10 | Chief, Bureau of Eligibility Integrity: | ||||||
11 | Bachelor's degree required, advanced degree in | ||||||
12 | public administration or business administration | ||||||
13 | preferred; experience equivalent to 4 years of | ||||||
14 | administration in a public or business | ||||||
15 | organization required; experience with managing | ||||||
16 | contract compliance required; knowledge of | ||||||
17 | Medicaid eligibility laws and policy preferred; | ||||||
18 | supervisory experience preferred. The General | ||||||
19 | Assembly finds that this position is necessary for | ||||||
20 | the timely and effective implementation of this | ||||||
21 | amendatory Act of the 97th General Assembly. | ||||||
22 | (B) HEALTHCARE FINANCE. | ||||||
23 | Director of Care Coordination Rate and | ||||||
24 | Finance: MBA, CPA, or Actuarial degree required; | ||||||
25 | experience in managed care rate setting, | ||||||
26 | including, but not limited to, baseline costs and |
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1 | growth trends; knowledge and experience with | ||||||
2 | Medical Loss Ratio standards and measurements. | ||||||
3 | Director of Encounter Data Program: Bachelor's | ||||||
4 | degree required, advanced degree preferred, | ||||||
5 | preferably in health care, business, or | ||||||
6 | information systems; at least 2 years healthcare | ||||||
7 | or other similar data reporting experience, | ||||||
8 | including, but not limited to, data definitions, | ||||||
9 | submission, and editing; background in HIPAA | ||||||
10 | transactions relevant to encounter data | ||||||
11 | submission; experience with large provider, health | ||||||
12 | insurer, government agency, or research | ||||||
13 | institution or other knowledge of healthcare | ||||||
14 | claims systems. | ||||||
15 | Manager of Medical Finance, Division of | ||||||
16 | Finance: Requires relevant advanced degree or | ||||||
17 | certification in relevant field, such as Certified | ||||||
18 | Public Accountant; coursework in business or | ||||||
19 | public administration, accounting, finance, data | ||||||
20 | analysis, or statistics preferred; experience in | ||||||
21 | control systems and GAAP; financial management | ||||||
22 | experience in a healthcare or government entity | ||||||
23 | utilizing Medicaid funding. | ||||||
24 | (C) HEALTHCARE DATA ANALYTICS. | ||||||
25 | Data Quality Assurance Manager: Bachelor's | ||||||
26 | degree required, advanced degree preferred, |
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1 | preferably in business, information systems, or | ||||||
2 | epidemiology; at least 3 years of extensive | ||||||
3 | healthcare data reporting experience with a large | ||||||
4 | provider, health insurer, government agency, or | ||||||
5 | research institution; previous data quality | ||||||
6 | assurance role or formal data quality assurance | ||||||
7 | training. | ||||||
8 | Data Analytics Unit Manager: Bachelor's degree | ||||||
9 | required, advanced degree preferred, in | ||||||
10 | information systems, applied mathematics, or | ||||||
11 | another field with a strong analytics component; | ||||||
12 | extensive healthcare data reporting experience | ||||||
13 | with a large provider, health insurer, government | ||||||
14 | agency, or research institution; experience as a | ||||||
15 | business analyst interfacing between business and | ||||||
16 | information technology departments; in-depth | ||||||
17 | knowledge of health insurance coding and evolving | ||||||
18 | healthcare quality metrics; working knowledge of | ||||||
19 | SQL and/or SAS. | ||||||
20 | Data Analytics Platform Manager: Bachelor's | ||||||
21 | degree required, advanced degree preferred, | ||||||
22 | preferably in business or information systems; | ||||||
23 | extensive healthcare data reporting experience | ||||||
24 | with a large provider, health insurer, government | ||||||
25 | agency, or research institution; previous | ||||||
26 | experience working on a health insurance data |
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1 | analytics platform; experience managing contracts | ||||||
2 | and vendors preferred. | ||||||
3 | (D) HEALTHCARE INFORMATION TECHNOLOGY. | ||||||
4 | Manager of MMIS Claims Unit: Bachelor's degree | ||||||
5 | required, with preferred coursework in business, | ||||||
6 | public administration, information systems; | ||||||
7 | experience equivalent to 4 years of administration | ||||||
8 | in a public or business organization; working | ||||||
9 | knowledge with design and implementation of | ||||||
10 | technical solutions to medical claims payment | ||||||
11 | systems; extensive technical writing experience, | ||||||
12 | including, but not limited to, the development of | ||||||
13 | RFPs, APDs, feasibility studies, and related | ||||||
14 | documents; thorough knowledge of IT system design, | ||||||
15 | commercial off the shelf software packages and | ||||||
16 | hardware components. | ||||||
17 | Assistant Bureau Chief, Office of Information | ||||||
18 | Systems: Bachelor's degree required, with | ||||||
19 | preferred coursework in business, public | ||||||
20 | administration, information systems; experience | ||||||
21 | equivalent to 5 years of administration in a public | ||||||
22 | or private business organization; extensive | ||||||
23 | technical writing experience, including, but not | ||||||
24 | limited to, the development of RFPs, APDs, | ||||||
25 | feasibility studies and related documents; | ||||||
26 | extensive healthcare technology experience with a |
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1 | large provider, health insurer, government agency, | ||||||
2 | or research institution; experience as a business | ||||||
3 | analyst interfacing between business and | ||||||
4 | information technology departments; thorough | ||||||
5 | knowledge of IT system design, commercial off the | ||||||
6 | shelf software packages and hardware components. | ||||||
7 | Technical System Architect: Bachelor's degree | ||||||
8 | required, with preferred coursework in computer | ||||||
9 | science or information technology; prior | ||||||
10 | experience equivalent to 5 years of computer | ||||||
11 | science or IT administration in a public or | ||||||
12 | business organization; extensive healthcare | ||||||
13 | technology experience with a large provider, | ||||||
14 | health insurer, government agency, or research | ||||||
15 | institution; experience as a business analyst | ||||||
16 | interfacing between business and information | ||||||
17 | technology departments. | ||||||
18 | The provisions of this paragraph (8), other than this | ||||||
19 | sentence, are inoperative after January 1, 2014. | ||||||
20 | (Source: P.A. 99-45, eff. 7-15-15; 100-258, eff. 8-22-17.)
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21 | Section 99. Effective date. This Act takes effect upon | ||||||
22 | becoming law.
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