Full Text of SB1762 97th General Assembly
SB1762ham002 97TH GENERAL ASSEMBLY | Rep. Barbara Flynn Currie Filed: 11/28/2011
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| 1 | | AMENDMENT TO SENATE BILL 1762
| 2 | | AMENDMENT NO. ______. Amend Senate Bill 1762, AS AMENDED, | 3 | | by replacing everything after the enacting clause with the | 4 | | following:
| 5 | | "Section 5. The Personnel Code is amended by changing | 6 | | Section 4d as follows:
| 7 | | (20 ILCS 415/4d) (from Ch. 127, par. 63b104d)
| 8 | | Sec. 4d. Partial exemptions. The following positions in | 9 | | State service are
exempt from jurisdictions A, B, and C to the | 10 | | extent stated for each, unless
those jurisdictions are extended | 11 | | as provided in this Act:
| 12 | | (1) In each department, board or commission that now | 13 | | maintains or may
hereafter maintain a major administrative | 14 | | division, service or office in
both Sangamon County and Cook | 15 | | County, 2 private secretaries for the
director or chairman | 16 | | thereof, one located in the Cook County office and the
other |
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| 1 | | located in the Sangamon County office, shall be exempt from
| 2 | | jurisdiction B; in all other departments, boards and | 3 | | commissions one
private secretary for the director or chairman | 4 | | thereof shall be exempt from
jurisdiction B. In all | 5 | | departments, boards and commissions one confidential
assistant | 6 | | for the director or chairman thereof shall be exempt from
| 7 | | jurisdiction B. This paragraph is subject to such modifications | 8 | | or waiver
of the exemptions as may be necessary to assure the | 9 | | continuity of federal
contributions in those agencies | 10 | | supported in whole or in part by federal
funds.
| 11 | | (2) The resident administrative head of each State | 12 | | charitable, penal and
correctional institution, the chaplains | 13 | | thereof, and all member, patient
and inmate employees are | 14 | | exempt from jurisdiction B.
| 15 | | (3) The Civil Service Commission, upon written | 16 | | recommendation of the
Director of Central Management Services, | 17 | | shall exempt
from jurisdiction B other positions
which, in the | 18 | | judgment of the Commission, involve either principal
| 19 | | administrative responsibility for the determination of policy | 20 | | or principal
administrative responsibility for the way in which | 21 | | policies are carried
out, except positions in agencies which | 22 | | receive federal funds if such
exemption is inconsistent with | 23 | | federal requirements, and except positions
in agencies | 24 | | supported in whole by federal funds.
| 25 | | (4) All beauticians and teachers of beauty culture and | 26 | | teachers of
barbering, and all positions heretofore paid under |
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| 1 | | Section 1.22 of "An Act
to standardize position titles and | 2 | | salary rates", approved June 30, 1943,
as amended, shall be | 3 | | exempt from jurisdiction B.
| 4 | | (5) Licensed attorneys in positions as legal or technical | 5 | | advisors, positions in the Department of Natural Resources | 6 | | requiring incumbents
to be either a registered professional | 7 | | engineer or to hold a bachelor's degree
in engineering from a | 8 | | recognized college or university,
licensed physicians in | 9 | | positions of medical administrator or physician or
physician | 10 | | specialist (including psychiatrists), and registered nurses | 11 | | (except
those registered nurses employed by the Department of | 12 | | Public Health), except
those in positions in agencies which | 13 | | receive federal funds if such
exemption is inconsistent with | 14 | | federal requirements and except those in
positions in agencies | 15 | | supported in whole by federal funds, are exempt from
| 16 | | jurisdiction B only to the extent that the requirements of | 17 | | Section 8b.1,
8b.3 and 8b.5 of this Code need not be met.
| 18 | | (6) All positions established outside the geographical | 19 | | limits of the
State of Illinois to which appointments of other | 20 | | than Illinois citizens may
be made are exempt from jurisdiction | 21 | | B.
| 22 | | (7) Staff attorneys reporting directly to individual | 23 | | Commissioners of
the Illinois Workers' Compensation
Commission | 24 | | are exempt from jurisdiction B.
| 25 | | (8) Twenty senior public service administrator positions | 26 | | within the Department of Healthcare and Family Services, as set |
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| 1 | | forth in this paragraph (8), requiring the specific knowledge | 2 | | of healthcare administration, healthcare finance, healthcare | 3 | | data analytics, or information technology described are exempt | 4 | | from jurisdiction B only to the extent that the requirements of | 5 | | Sections 8b.1, 8b.3, and 8b.5 of this Code need not be met. | 6 | | When filling positions so designated, the Director of | 7 | | Healthcare and Family Services shall cause a position | 8 | | description to be published which allots points to various | 9 | | qualifications desired. After scoring qualified applications, | 10 | | the Director shall add Veteran's Preference points as | 11 | | enumerated in Section 8b.7 of this Code. The following are the | 12 | | minimum qualifications for the senior public service | 13 | | administrator positions provided for in this paragraph (8): | 14 | | (A) HEALTHCARE ADMINISTRATION. | 15 | | Medical Director: Licensed Medical Doctor in good | 16 | | standing; experience in healthcare payment systems, | 17 | | pay for performance initiatives, medical necessity | 18 | | criteria or federal or State quality improvement | 19 | | programs; preferred experience serving Medicaid | 20 | | patients or experience in population health programs | 21 | | with a large provider, health insurer, government | 22 | | agency, or research institution. | 23 | | Chief, Bureau of Quality Management: Advanced | 24 | | degree in health policy or health professional field | 25 | | preferred; at least 3 years experience in implementing | 26 | | or managing healthcare quality improvement initiatives |
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| 1 | | in a clinical setting. | 2 | | Quality Management Bureau: Manager, Care | 3 | | Coordination/Managed Care Quality: Clinical degree or | 4 | | advanced degree in relevant field required; experience | 5 | | in the field of managed care quality improvement, with | 6 | | knowledge of HEDIS measurements, coding, and related | 7 | | data definitions. | 8 | | Quality Management Bureau: Manager, Primary Care | 9 | | Provider Quality and Practice Development: Clinical | 10 | | degree or advanced degree in relevant field required; | 11 | | experience in practice administration in the primary | 12 | | care setting with a provider or a provider association | 13 | | or an accrediting body; knowledge of practice | 14 | | standards for medical homes and best evidence based | 15 | | standards of care for primary care. | 16 | | Director of Care Coordination Contracts and | 17 | | Compliance: Bachelor's degree required; multi-year | 18 | | experience in negotiating managed care contracts, | 19 | | preferably on behalf of a payer; experience with health | 20 | | care contract compliance. | 21 | | Chief, Bureau of Pharmacy Services: Bachelor's | 22 | | degree required; pharmacy degree preferred; in | 23 | | formulary development and management from both a | 24 | | clinical and financial perspective, experience in | 25 | | prescription drug utilization review and utilization | 26 | | control policies, knowledge of retail pharmacy |
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| 1 | | reimbursement policies and methodologies and available | 2 | | benchmarks, knowledge of Medicare Part D benefit | 3 | | design. | 4 | | Chief, Bureau of Maternal and Child Health | 5 | | Promotion: Bachelor's degree required, advanced degree | 6 | | preferred, in public health, health care management, | 7 | | or a clinical field; multi-year experience in health | 8 | | care or public health management; knowledge of federal | 9 | | EPSDT requirements and strategies for improving health | 10 | | care for children as well as improving birth outcomes. | 11 | | Director of Dental Program: Bachelor's degree | 12 | | required, advanced degree preferred, in healthcare | 13 | | management or relevant field; experience in healthcare | 14 | | administration; experience in administering dental | 15 | | healthcare programs, knowledge of practice standards | 16 | | for dental care and treatment services; knowledge of | 17 | | the public dental health infrastructure. | 18 | | Manager of Medicare/Medicaid Coordination: | 19 | | Bachelor's degree required, knowledge and experience | 20 | | with Medicare Advantage rules and regulations, | 21 | | knowledge of Medicaid laws and policies; experience | 22 | | with contract drafting preferred. | 23 | | (B) HEALTHCARE FINANCE. | 24 | | Director of Care Coordination Rate and Finance: | 25 | | MBA, CPA, or Actuarial degree required; experience in | 26 | | managed care rate setting, including, but not limited |
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| 1 | | to, baseline costs and growth trends; knowledge and | 2 | | experience with Medical Loss Ratio standards and | 3 | | measurements. | 4 | | Director of Encounter Data Program: Bachelor's | 5 | | degree required, advanced degree preferred, preferably | 6 | | in business or information systems; at least 2 years | 7 | | healthcare data reporting experience, including, but | 8 | | not limited to, data definitions, submission, and | 9 | | editing; strong background in HIPAA transactions | 10 | | relevant to encounter data submission; knowledge of | 11 | | healthcare claims systems. | 12 | | Chief, Bureau of Rate Development and Analysis: | 13 | | Bachelor's degree required, advanced degree preferred, | 14 | | with preferred coursework in business or public | 15 | | administration, accounting, finance, data analysis, or | 16 | | statistics; experience with Medicaid reimbursement | 17 | | methodologies and regulations; experience with | 18 | | extracting data from large systems for analysis. | 19 | | Manager of Medical Finance, Division of Finance: | 20 | | Requires relevant advanced degree or certification in | 21 | | relevant field, such as Certified Public Accountant; | 22 | | coursework in business or public administration, | 23 | | accounting, finance, data analysis, or statistics | 24 | | preferred; experience in control systems and GAAP; | 25 | | financial management experience in a healthcare or | 26 | | government entity utilizing Medicaid funding. |
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| 1 | | (C) HEALTHCARE DATA ANALYTICS. | 2 | | Data Quality Assurance Manager: Bachelor's degree | 3 | | required, advanced degree preferred, preferably in | 4 | | business, information systems, or epidemiology; at | 5 | | least 3 years of extensive healthcare data reporting | 6 | | experience with a large provider, health insurer, | 7 | | government agency, or research institution; previous | 8 | | data quality assurance role or formal data quality | 9 | | assurance training. | 10 | | Data Analytics Unit Manager: Bachelor's degree | 11 | | required, advanced degree preferred, in information | 12 | | systems, applied mathematics, or another field with a | 13 | | strong analytics component; extensive healthcare data | 14 | | reporting experience with a large provider, health | 15 | | insurer, government agency, or research institution; | 16 | | experience as a business analyst interfacing between | 17 | | business and information technology departments; | 18 | | in-depth knowledge of health insurance coding and | 19 | | evolving healthcare quality metrics; working knowledge | 20 | | of SQL and/or SAS. | 21 | | Data Analytics Platform Manager: Bachelor's degree | 22 | | required, advanced degree preferred, preferably in | 23 | | business or information systems; extensive healthcare | 24 | | data reporting experience with a large provider, | 25 | | health insurer, government agency, or research | 26 | | institution; previous experience working on a health |
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| 1 | | insurance data analytics platform; experience managing | 2 | | contracts and vendors preferred. | 3 | | (D) HEALTHCARE INFORMATION TECHNOLOGY. | 4 | | Manager of Recipient Provider Reference Unit: | 5 | | Bachelor's degree required; experience equivalent to 4 | 6 | | years of administration in a public or business | 7 | | organization; 3 years of administrative experience in | 8 | | a computer-based management information system. | 9 | | Manager of MMIS Claims Unit: Bachelor's degree | 10 | | required, with preferred coursework in business, | 11 | | public administration, information systems; experience | 12 | | equivalent to 4 years of administration in a public or | 13 | | business organization; working knowledge with design | 14 | | and implementation of technical solutions to medical | 15 | | claims payment systems; extensive technical writing | 16 | | experience, including, but not limited to, the | 17 | | development of RFPs, APDs, feasibility studies, and | 18 | | related documents; thorough knowledge of IT system | 19 | | design, commercial off the shelf software packages and | 20 | | hardware components. | 21 | | Assistant Bureau Chief, Office of Information | 22 | | Systems: Bachelor's degree required, with preferred | 23 | | coursework in business, public administration, | 24 | | information systems; experience equivalent to 5 years | 25 | | of administration in a public or private business | 26 | | organization; extensive technical writing experience |
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| 1 | | including but not limited to the development of RFPs, | 2 | | APDs, feasibility studies and related documents; | 3 | | extensive healthcare technology experience with a | 4 | | large provider, health insurer, government agency, or | 5 | | research institution; experience as a business analyst | 6 | | interfacing between business and information | 7 | | technology departments; thorough knowledge of IT | 8 | | system design, commercial off the shelf software | 9 | | packages and hardware components. | 10 | | Technical System Architect: Bachelor's degree | 11 | | required, with preferred coursework in computer | 12 | | science or information technology; prior experience | 13 | | equivalent to 5 years of computer science or IT | 14 | | administration in a public or business organization; | 15 | | extensive healthcare technology experience with a | 16 | | large provider, health insurer, government agency, or | 17 | | research institution; experience as a business analyst | 18 | | interfacing between business and information | 19 | | technology departments. | 20 | | The provisions of this paragraph (8), other than this sentence, | 21 | | are inoperative after January 1, 2014. | 22 | | (Source: P.A. 93-721, eff. 1-1-05.)
| 23 | | Section 99. Effective date. This Act takes effect upon | 24 | | becoming law.".
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