Public Act 097-0649
 
SB1762 EnrolledLRB097 06104 CEL 46177 b


  
    AN ACT concerning State government.
  
 
    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), 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 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. 
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.
            Chief, Bureau of Pharmacy Services:  Bachelor's 
        degree required; pharmacy degree preferred; in 
        formulary development and management from both a 
        clinical and financial perspective, experience in 
        prescription drug utilization review and utilization 
        control policies, knowledge of retail pharmacy 
        reimbursement policies and methodologies and available 
        benchmarks, knowledge of Medicare Part D benefit 
        design.
            Chief, Bureau of Maternal and Child Health 
        Promotion:  Bachelor's degree required, advanced degree 
        preferred, in public health, health care management, 
        or a clinical field; multi-year experience in health 
        care or public health management; knowledge of federal 
        EPSDT requirements and strategies for improving health 
        care for children as well as improving birth outcomes.
            Director of Dental Program:  Bachelor's degree 
        required, advanced degree preferred, in healthcare 
        management or relevant field; experience in healthcare 
        administration; experience in administering dental 
        healthcare programs, knowledge of practice standards 
        for dental care and treatment services; knowledge of 
        the public dental health infrastructure.
            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.
        (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 business or information systems; at least 2 years 
        healthcare data reporting experience, including, but 
        not limited to, data definitions, submission, and 
        editing; strong background in HIPAA transactions 
        relevant to encounter data submission; knowledge of 
        healthcare claims systems.
            Chief, Bureau of Rate Development and Analysis: 
        Bachelor's degree required, advanced degree preferred, 
        with preferred coursework in business or public 
        administration, accounting, finance, data analysis, or 
        statistics; experience with Medicaid reimbursement 
        methodologies and regulations; experience with 
        extracting data from large systems for analysis.
            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 Recipient Provider Reference Unit:  
        Bachelor's degree required; experience equivalent to 4 
        years of administration in a public or business 
        organization; 3 years of administrative experience in 
        a computer-based management information system.
            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. 93-721, eff. 1-1-05.)

 

    Section 99. Effective date. This Act takes effect upon 
becoming law.