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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 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,

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, and 
8 registered nurses (except
those registered nurses employed 
9 by the Department of Public Health), except
those in 
10 positions in agencies which receive federal funds if such

11 exemption is inconsistent with federal requirements and 
12 except those in
positions in agencies supported in whole by 
13 federal funds, are exempt from
jurisdiction B only to the 
14 extent that the requirements of Section 8b.1,
8b.3 and 8b.5 
15 of this Code need not be met.

16  (6) All positions established outside the geographical 
17 limits of the
State of Illinois to which appointments of 
18 other than Illinois citizens may
be made are exempt from 
19 jurisdiction B.

20  (7) Staff attorneys reporting directly to individual 
21 Commissioners of
the Illinois Workers' Compensation

22 Commission are exempt from jurisdiction B.

23  (8) Twenty-one senior public service administrator 
24 positions within the Department of Healthcare and Family 
25 Services, as set forth in this paragraph (8), requiring the 
26 specific knowledge of healthcare administration, 
 
 
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1 healthcare finance, healthcare data analytics, or 
2 information technology described are exempt from 
3 jurisdiction B only to the extent that the requirements of 
4 Sections 8b.1, 8b.3, and 8b.5 of this Code need not be met. 
5 The General Assembly finds that these positions are all 
6 senior policy makers and have spokesperson authority for 
7 the Director of the Department of Healthcare and Family 
8 Services. When filling positions so designated, the 
9 Director of Healthcare and Family Services shall cause a 
10 position description to be published which allots points to 
11 various qualifications desired. After scoring qualified 
12 applications, the Director shall add Veteran's Preference 
13 points as enumerated in Section 8b.7 of this Code. The 
14 following are the minimum qualifications for the senior 
15 public service administrator positions provided for in 
16 this paragraph (8):
17   (A) HEALTHCARE ADMINISTRATION.
18    Medical Director: Licensed Medical Doctor in 
19 good standing; experience in healthcare payment 
20 systems, pay for performance initiatives, medical 
21 necessity criteria or federal or State quality 
22 improvement programs; preferred experience serving 
23 Medicaid patients or experience in population 
24 health programs with a large provider, health 
25 insurer, government agency, or research 
26 institution.
 
 
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1    Chief, Bureau of Quality Management: Advanced 
2 degree in health policy or health professional 
3 field preferred; at least 3 years experience in 
4 implementing or managing healthcare quality 
5 improvement initiatives in a clinical setting.
6    Quality Management Bureau: Manager, Care 
7 Coordination/Managed Care Quality: Clinical degree 
8 or advanced degree in relevant field required; 
9 experience in the field of managed care quality 
10 improvement, with knowledge of HEDIS measurements, 
11 coding, and related data definitions.
12    Quality Management Bureau: Manager, Primary 
13 Care Provider Quality and Practice Development: 
14 Clinical degree or advanced degree in relevant 
15 field required; experience in practice 
16 administration in the primary care setting with a 
17 provider or a provider association or an 
18 accrediting body; knowledge of practice standards 
19 for medical homes and best evidence based 
20 standards of care for primary care.
21    Director of Care Coordination Contracts and 
22 Compliance: Bachelor's degree required; multi-year 
23 experience in negotiating managed care contracts, 
24 preferably on behalf of a payer; experience with 
25 health care contract compliance.
26    Manager, Long Term Care Policy: Bachelor's 
 
 
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1 degree required; social work, gerontology, or 
2 social service degree preferred; knowledge of 
3 Olmstead and other relevant court decisions 
4 required; experience working with diverse long 
5 term care populations and service systems, federal 
6 initiatives to create long term care community 
7 options, and home and community-based waiver 
8 services required. The General Assembly finds that 
9 this position is necessary for the timely and 
10 effective implementation of this amendatory Act of 
11 the 97th General Assembly. 
12    Manager, Behavioral Health Programs: Clinical 
13 license or Advanced degree required, preferably in 
14 psychology, social work, or relevant field; 
15 knowledge of medical necessity criteria and 
16 governmental policies and regulations governing 
17 the provision of mental health services to 
18 Medicaid populations, including children and 
19 adults, in community and institutional settings of 
20 care. The General Assembly finds that this 
21 position is necessary for the timely and effective 
22 implementation of this amendatory Act of the 97th 
23 General Assembly. 
24    Manager, Office of Accountable Care Entity 
25 Development: Bachelor's degree required, clinical 
26 degree or advanced degree in relevant field 
 
 
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1 preferred; experience in developing integrated 
2 delivery systems, including knowledge of health 
3 homes and evidence-based standards of care 
4 delivery; multi-year experience in health care or 
5 public health management; knowledge of federal ACO 
6 or other similar delivery system requirements and 
7 strategies for improving health care delivery.
8    Manager of Federal Regulatory Compliance: 
9 Bachelor's degree required, advanced degree 
10 preferred, in healthcare management or relevant 
11 field; experience in healthcare administration or 
12 Medicaid State Plan amendments preferred; 
13 experience interpreting federal rules; experience 
14 with either federal health care agency or with a 
15 State agency in working with federal regulations.
16    Manager, Office of Medical Project Management: 
17 Bachelor's degree required, project management 
18 certification preferred; multi-year experience in 
19 project management and developing business analyst 
20 skills; leadership skills to manage multiple and 
21 complex projects. 
22    Manager of Medicare/Medicaid Coordination: 
23 Bachelor's degree required, knowledge and 
24 experience with Medicare Advantage rules and 
25 regulations, knowledge of Medicaid laws and 
26 policies; experience with contract drafting 
 
 
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1 preferred.
2    Chief, Bureau of Eligibility Integrity: 
3 Bachelor's degree required, advanced degree in 
4 public administration or business administration 
5 preferred; experience equivalent to 4 years of 
6 administration in a public or business 
7 organization required; experience with managing 
8 contract compliance required; knowledge of 
9 Medicaid eligibility laws and policy preferred; 
10 supervisory experience preferred. The General 
11 Assembly finds that this position is necessary for 
12 the timely and effective implementation of this 
13 amendatory Act of the 97th General Assembly. 
14   (B) HEALTHCARE FINANCE.
15    Director of Care Coordination Rate and 
16 Finance: MBA, CPA, or Actuarial degree required; 
17 experience in managed care rate setting, 
18 including, but not limited to, baseline costs and 
19 growth trends; knowledge and experience with 
20 Medical Loss Ratio standards and measurements.
21    Director of Encounter Data Program: Bachelor's 
22 degree required, advanced degree preferred, 
23 preferably in health care, business, or 
24 information systems; at least 2 years healthcare 
25 or other similar data reporting experience, 
26 including, but not limited to, data definitions, 
 
 
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1 submission, and editing; background in HIPAA 
2 transactions relevant to encounter data 
3 submission; experience with large provider, health 
4 insurer, government agency, or research 
5 institution or other knowledge of healthcare 
6 claims systems.
7    Manager of Medical Finance, Division of 
8 Finance: Requires relevant advanced degree or 
9 certification in relevant field, such as Certified 
10 Public Accountant; coursework in business or 
11 public administration, accounting, finance, data 
12 analysis, or statistics preferred; experience in 
13 control systems and GAAP; financial management 
14 experience in a healthcare or government entity 
15 utilizing Medicaid funding.
16   (C) HEALTHCARE DATA ANALYTICS.
17    Data Quality Assurance Manager: Bachelor's 
18 degree required, advanced degree preferred, 
19 preferably in business, information systems, or 
20 epidemiology; at least 3 years of extensive 
21 healthcare data reporting experience with a large 
22 provider, health insurer, government agency, or 
23 research institution; previous data quality 
24 assurance role or formal data quality assurance 
25 training.
26    Data Analytics Unit Manager: Bachelor's degree 
 
 
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1 required, advanced degree preferred, in 
2 information systems, applied mathematics, or 
3 another field with a strong analytics component; 
4 extensive healthcare data reporting experience 
5 with a large provider, health insurer, government 
6 agency, or research institution; experience as a 
7 business analyst interfacing between business and 
8 information technology departments; in-depth 
9 knowledge of health insurance coding and evolving 
10 healthcare quality metrics; working knowledge of 
11 SQL and/or SAS.
12    Data Analytics Platform Manager: Bachelor's 
13 degree required, advanced degree preferred, 
14 preferably in business or information systems; 
15 extensive healthcare data reporting experience 
16 with a large provider, health insurer, government 
17 agency, or research institution; previous 
18 experience working on a health insurance data 
19 analytics platform; experience managing contracts 
20 and vendors preferred.
21   (D) HEALTHCARE INFORMATION TECHNOLOGY.
22    Manager of MMIS Claims Unit: Bachelor's degree 
23 required, with preferred coursework in business, 
24 public administration, information systems; 
25 experience equivalent to 4 years of administration 
26 in a public or business organization; working 
 
 
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1 knowledge with design and implementation of 
2 technical solutions to medical claims payment 
3 systems; extensive technical writing experience, 
4 including, but not limited to, the development of 
5 RFPs, APDs, feasibility studies, and related 
6 documents; thorough knowledge of IT system design, 
7 commercial off the shelf software packages and 
8 hardware components.
9    Assistant Bureau Chief, Office of Information 
10 Systems: Bachelor's degree required, with 
11 preferred coursework in business, public 
12 administration, information systems; experience 
13 equivalent to 5 years of administration in a public 
14 or private business organization; extensive 
15 technical writing experience, including, but not 
16 limited to, the development of RFPs, APDs, 
17 feasibility studies and related documents; 
18 extensive healthcare technology experience with a 
19 large provider, health insurer, government agency, 
20 or research institution; experience as a business 
21 analyst interfacing between business and 
22 information technology departments; thorough 
23 knowledge of IT system design, commercial off the 
24 shelf software packages and hardware components.
25    Technical System Architect: Bachelor's degree 
26 required, with preferred coursework in computer 
 
 
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1 science or information technology; prior 
2 experience equivalent to 5 years of computer 
3 science or IT administration in a public or 
4 business organization; extensive healthcare 
5 technology experience with a large provider, 
6 health insurer, government agency, or research 
7 institution; experience as a business analyst 
8 interfacing between business and information 
9 technology departments.
10 The provisions of this paragraph (8), other than this 
11 sentence, are inoperative after January 1, 2014. 
12  (9) All positions within the Illinois School for the 
13 Deaf and the Illinois School for the Visually Impaired 
14 requiring licensure by the State Board of Education under 
15 Article 21B of the School Code. The provisions of this 
16 paragraph (9), other than this sentence, are inoperative 
17 after January 1, 2017.
18(Source: P.A. 97-649, eff. 12-30-11; 97-689, eff. 6-14-12; 
1998-104, eff. 7-22-13; 98-1146, eff. 12-30-14.)