HB5153 EnrolledLRB100 16243 RJF 31366 b


  
1    AN ACT concerning State government.
  
 
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 
 
 
HB5153 Enrolled- 2 -LRB100 16243 RJF 31366 b

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 
 
 
HB5153 Enrolled- 3 -LRB100 16243 RJF 31366 b

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; from July 
8    15, 2015 (the effective date of Public Act 99-45) until 
9    August 30, 2019, all positions within the Illinois School 
10    for the Deaf and the Illinois School for the Visually 
11    Impaired requiring licensure by the State Board of 
12    Education under Article 21B of the School Code and all 
13    rehabilitation/mobility instructors and 
14    rehabilitation/mobility instructor trainees at the 
15    Illinois School for the Visually Impaired;   and registered 
16    nurses (except
those registered nurses employed by the 
17    Department of Public Health); except
those in positions in 
18    agencies which receive federal funds if such
exemption is 
19    inconsistent with federal requirements and except those in

20    positions in agencies supported in whole by federal funds, 
21    are exempt from
jurisdiction B only to the extent that the 
22    requirements of Section 8b.1,
8b.3 and 8b.5 of this Code 
23    need not be met.

24        (6) All positions established outside the geographical 
25    limits of the
State of Illinois to which appointments of 
26    other than Illinois citizens may
be made are exempt from 
 
 
HB5153 Enrolled- 4 -LRB100 16243 RJF 31366 b

1    jurisdiction B.

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


4    Commission are exempt from jurisdiction B.

5        (8) Twenty-one senior public service administrator 
6    positions within the Department of Healthcare and Family 
7    Services, as set forth in this paragraph (8), requiring the 
8    specific knowledge of healthcare administration, 
9    healthcare finance, healthcare data analytics, or 
10    information technology described are exempt from 
11    jurisdiction B only to the extent that the requirements of 
12    Sections 8b.1, 8b.3, and 8b.5 of this Code need not be met. 
13    The General Assembly finds that these positions are all 
14    senior policy makers and have spokesperson authority for 
15    the Director of the Department of Healthcare and Family 
16    Services. When filling positions so designated, the 
17    Director of Healthcare and Family Services shall cause a 
18    position description to be published which allots points to 
19    various qualifications desired.  After scoring qualified 
20    applications, the Director shall add Veteran's Preference 
21    points as enumerated in Section 8b.7 of this Code. The 
22    following are the minimum qualifications for the senior 
23    public service administrator positions provided for in 
24    this paragraph (8):
25            (A) HEALTHCARE ADMINISTRATION.
26                Medical Director: Licensed Medical Doctor in 
 
 
HB5153 Enrolled- 5 -LRB100 16243 RJF 31366 b

1            good standing; experience in healthcare payment 
2            systems, pay for performance initiatives, medical 
3            necessity criteria or federal or State quality 
4            improvement programs; preferred experience serving 
5            Medicaid patients or experience in population 
6            health programs with a large provider, health 
7            insurer, government agency, or research 
8            institution.
9                Chief, Bureau of Quality Management:  Advanced 
10            degree in health policy or health professional 
11            field preferred; at least 3 years experience in 
12            implementing or managing healthcare quality 
13            improvement initiatives in a clinical setting.
14                Quality Management Bureau:  Manager, Care 
15            Coordination/Managed Care Quality:  Clinical degree 
16            or advanced degree in relevant field required; 
17            experience in the field of managed care quality 
18            improvement, with knowledge of HEDIS measurements, 
19            coding, and related data definitions.
20                Quality Management Bureau:  Manager, Primary 
21            Care Provider Quality and Practice Development:  
22            Clinical degree or advanced degree in relevant 
23            field required; experience in practice 
24            administration in the primary care setting with a 
25            provider or a provider association or an 
26            accrediting body; knowledge of practice standards 
 
 
HB5153 Enrolled- 6 -LRB100 16243 RJF 31366 b

1            for medical homes and best evidence based 
2            standards of care for primary care.
3                Director of Care Coordination Contracts and 
4            Compliance:  Bachelor's degree required;  multi-year 
5            experience in negotiating managed care contracts, 
6            preferably on behalf of a payer; experience with 
7            health care contract compliance.
8                Manager, Long Term Care Policy:  Bachelor's 
9            degree required; social work, gerontology, or 
10            social service degree preferred; knowledge of 
11            Olmstead and other relevant court decisions 
12            required;  experience working with  diverse long 
13            term care populations and service systems,  federal 
14            initiatives to create long term care community 
15            options, and home and community-based waiver 
16            services required. The General Assembly finds that 
17            this position is necessary for the timely and 
18            effective implementation of this amendatory Act of 
19            the 97th General Assembly. 
20                Manager, Behavioral Health Programs:  Clinical 
21            license or Advanced degree required, preferably in 
22            psychology, social work, or relevant field; 
23            knowledge of  medical necessity criteria and 
24            governmental policies and regulations governing 
25            the provision of mental health services to 
26            Medicaid populations, including children and 
 
 
HB5153 Enrolled- 7 -LRB100 16243 RJF 31366 b

1            adults, in community and institutional settings of 
2            care. The General Assembly finds that this 
3            position is necessary for the timely and effective 
4            implementation of this amendatory Act of the 97th 
5            General Assembly. 
6                Manager, Office of Accountable Care Entity 
7            Development:  Bachelor's degree required, clinical 
8            degree or advanced degree in relevant field 
9            preferred; experience in developing integrated 
10            delivery systems, including knowledge of health 
11            homes and evidence-based standards of care 
12            delivery; multi-year experience in health care or 
13            public health management; knowledge of federal ACO 
14            or other similar delivery system requirements and 
15            strategies for improving health care delivery.
16                Manager of Federal Regulatory Compliance:  
17            Bachelor's degree required, advanced degree 
18            preferred, in healthcare management or relevant 
19            field; experience in healthcare administration or 
20            Medicaid State Plan amendments preferred; 
21            experience interpreting federal rules; experience 
22            with either federal health care agency or with a 
23            State agency in working with federal regulations.
24                Manager, Office of Medical Project Management: 
25            Bachelor's degree required, project management 
26            certification preferred; multi-year experience in 
 
 
HB5153 Enrolled- 8 -LRB100 16243 RJF 31366 b

1            project management and developing business analyst 
2            skills; leadership skills to manage multiple and 
3            complex projects. 
4                Manager of Medicare/Medicaid Coordination:  
5            Bachelor's degree required, knowledge and 
6            experience with Medicare Advantage rules and 
7            regulations, knowledge of Medicaid laws and 
8            policies; experience with contract drafting 
9            preferred.
10                Chief, Bureau of Eligibility Integrity: 
11            Bachelor's degree required, advanced degree in 
12            public administration or business administration 
13            preferred; experience equivalent to 4 years of 
14            administration in a public or business 
15            organization required; experience with managing 
16            contract compliance required; knowledge of 
17            Medicaid eligibility laws and policy preferred; 
18            supervisory experience preferred. The General 
19            Assembly finds that this position is necessary for 
20            the timely and effective implementation of this 
21            amendatory Act of the 97th General Assembly. 
22            (B) HEALTHCARE FINANCE.
23                Director of Care Coordination Rate and 
24            Finance: MBA, CPA, or Actuarial degree required; 
25            experience in managed care rate setting, 
26            including, but not limited to, baseline costs and 
 
 
HB5153 Enrolled- 9 -LRB100 16243 RJF 31366 b

1            growth trends; knowledge and experience with 
2            Medical Loss Ratio standards and measurements.
3                Director of Encounter Data Program: Bachelor's 
4            degree required, advanced degree preferred, 
5            preferably in health care, business, or 
6            information systems; at least 2 years healthcare 
7            or other similar data reporting experience, 
8            including, but not limited to, data definitions, 
9            submission, and editing; background in HIPAA 
10            transactions relevant to encounter data 
11            submission; experience with large provider, health 
12            insurer, government agency, or research 
13            institution or other knowledge of healthcare 
14            claims systems.
15                Manager of Medical Finance, Division of 
16            Finance:  Requires relevant advanced degree or 
17            certification in relevant field, such as Certified 
18            Public Accountant; coursework in business or 
19            public administration, accounting, finance, data 
20            analysis, or statistics preferred; experience in 
21            control systems and GAAP; financial management 
22            experience in a healthcare or government entity 
23            utilizing Medicaid funding.
24            (C) HEALTHCARE DATA ANALYTICS.
25                Data Quality Assurance Manager: Bachelor's 
26            degree required, advanced degree preferred, 
 
 
HB5153 Enrolled- 10 -LRB100 16243 RJF 31366 b

1            preferably in business, information systems, or 
2            epidemiology; at least 3 years of extensive 
3            healthcare data reporting experience with a large 
4            provider, health insurer, government agency, or 
5            research institution; previous data quality 
6            assurance role or formal data quality assurance 
7            training.
8                Data Analytics Unit Manager:  Bachelor's degree 
9            required, advanced degree preferred, in 
10            information systems, applied mathematics, or 
11            another field with a strong analytics component; 
12            extensive healthcare data reporting experience 
13            with a large provider, health insurer, government 
14            agency, or research institution; experience as a 
15            business analyst interfacing between business and 
16            information technology departments; in-depth 
17            knowledge of health insurance coding and evolving 
18            healthcare quality metrics; working knowledge of 
19            SQL and/or SAS.
20                Data Analytics Platform Manager: Bachelor's 
21            degree required, advanced degree preferred, 
22            preferably in business or information systems; 
23            extensive healthcare data reporting experience 
24            with a large provider, health insurer, government 
25            agency, or research institution; previous 
26            experience working on a health insurance data 
 
 
HB5153 Enrolled- 11 -LRB100 16243 RJF 31366 b

1            analytics platform; experience managing contracts 
2            and vendors preferred.
3            (D) HEALTHCARE INFORMATION TECHNOLOGY.
4                Manager of MMIS Claims Unit: Bachelor's degree 
5            required, with preferred coursework in business, 
6            public administration, information systems; 
7            experience equivalent to 4 years of administration  
8            in a public or business organization; working 
9            knowledge with design and implementation of 
10            technical solutions to medical claims payment 
11            systems; extensive technical writing experience, 
12            including, but not limited to, the development of 
13            RFPs, APDs, feasibility studies, and related 
14            documents; thorough knowledge of IT system design, 
15            commercial off the shelf software packages and 
16            hardware components.
17                Assistant Bureau Chief, Office of Information 
18            Systems:  Bachelor's degree required, with 
19            preferred coursework in business, public 
20            administration, information systems;  experience 
21            equivalent to 5 years of administration in a public 
22            or private business organization; extensive 
23            technical writing experience, including, but not 
24            limited to, the development of RFPs, APDs, 
25            feasibility studies and related documents; 
26            extensive healthcare technology experience with a 
 
 
HB5153 Enrolled- 12 -LRB100 16243 RJF 31366 b

1            large provider, health insurer, government agency, 
2            or research institution; experience as a business 
3            analyst interfacing between business and 
4            information technology departments; thorough 
5            knowledge of IT system design, commercial off the 
6            shelf software packages and hardware components.
7                Technical System Architect:  Bachelor's degree 
8            required, with preferred coursework in computer 
9            science or information technology; prior 
10            experience equivalent to 5 years of computer 
11            science or IT administration in a public or 
12            business organization; extensive healthcare 
13            technology experience with a large provider, 
14            health insurer, government agency, or research 
15            institution; experience as a business analyst 
16            interfacing between business and information 
17            technology departments.
18    The provisions of this paragraph (8), other than this 
19    sentence, are inoperative after January 1, 2014. 
20(Source: P.A. 99-45, eff. 7-15-15; 100-258, eff. 8-22-17.)

 
 
21    Section 99. Effective date. This Act takes effect upon 
22becoming law.