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Public Act 100-0771 | ||||
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AN ACT concerning State government.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 5. The Personnel Code is amended by changing | ||||
Section 4d as follows:
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(20 ILCS 415/4d) (from Ch. 127, par. 63b104d)
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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:
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(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
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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.
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(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.
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(3) The Civil Service Commission, upon written | ||
recommendation of the
Director of Central Management | ||
Services, shall exempt
from jurisdiction B other positions
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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
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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.
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(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.
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(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;
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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 July | ||
15, 2015 (the effective date of Public Act 99-45) until | ||
August 30, 2019, 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 all | ||
rehabilitation/mobility instructors and | ||
rehabilitation/mobility instructor trainees at the | ||
Illinois School for the Visually Impaired; 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
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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.
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(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.
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(7) Staff attorneys reporting directly to individual | ||
Commissioners of
the Illinois Workers' Compensation
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Commission are exempt from jurisdiction B.
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(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. 99-45, eff. 7-15-15; 100-258, eff. 8-22-17.)
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Section 99. Effective date. This Act takes effect upon | ||
becoming law.
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