Public Act 099-0045

SB0220 Enrolled LRB099 03166 NHT 23174 b

AN ACT concerning education.

Be it enacted by the People of the State of Illinois,

represented in the General Assembly:

Section 5. The Personnel Code is amended by changing

Section 4d as follows:

(20 ILCS 415/4d) (from Ch. 127, par. 63b104d)

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:

(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

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.

(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.

(3) The Civil Service Commission, upon written

recommendation of the Director of Central Management

Services, shall exempt from jurisdiction B other positions

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

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.

(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.

(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; , 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 the effective date of this amendatory Act of the

99th General Assembly until January 1, 2017, 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 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 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.

(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.

(7) Staff attorneys reporting directly to individual

Commissioners of the Illinois Workers' Compensation

Commission are exempt from jurisdiction B.

(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. 97-649, eff. 12-30-11; 97-689, eff. 6-14-12;

98-104, eff. 7-22-13; 98-1146, eff. 12-30-14.)