Sen. Chuck Weaver

Filed: 3/14/2018

 

 


 

 


 
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1
AMENDMENT TO SENATE BILL 2878

2    AMENDMENT NO. ______. Amend Senate Bill 2878 by replacing
3everything after the enacting clause with the following:
 
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

 

 

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1    exempt from jurisdiction B; in all other departments,
2    boards and commissions one private secretary for the
3    director or chairman thereof shall be exempt from
4    jurisdiction B. In all departments, boards and commissions
5    one confidential assistant for the director or chairman
6    thereof shall be exempt from jurisdiction B. This paragraph
7    is subject to such modifications or waiver of the
8    exemptions as may be necessary to assure the continuity of
9    federal contributions in those agencies supported in whole
10    or in part by federal funds.
11        (2) The resident administrative head of each State
12    charitable, penal and correctional institution, the
13    chaplains thereof, and all member, patient and inmate
14    employees are exempt from jurisdiction B.
15        (3) The Civil Service Commission, upon written
16    recommendation of the Director of Central Management
17    Services, shall exempt from jurisdiction B other positions
18    which, in the judgment of the Commission, involve either
19    principal administrative responsibility for the
20    determination of policy or principal administrative
21    responsibility for the way in which policies are carried
22    out, except positions in agencies which receive federal
23    funds if such exemption is inconsistent with federal
24    requirements, and except positions in agencies supported
25    in whole by federal funds.
26        (4) All beauticians and teachers of beauty culture and

 

 

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1    teachers of barbering, and all positions heretofore paid
2    under Section 1.22 of "An Act to standardize position
3    titles and salary rates", approved June 30, 1943, as
4    amended, shall be exempt from jurisdiction B.
5        (5) Licensed attorneys in positions as legal or
6    technical advisors; positions in the Department of Natural
7    Resources requiring incumbents to be either a registered
8    professional engineer or to hold a bachelor's degree in
9    engineering from a recognized college or university;
10    licensed physicians in positions of medical administrator
11    or physician or physician specialist (including
12    psychiatrists); all positions within the Department of
13    Juvenile Justice requiring licensure by the State Board of
14    Education under Article 21B of the School Code; from July
15    15, 2015 (the effective date of Public Act 99-45) until
16    August 30, 2019, all positions within the Illinois School
17    for the Deaf and the Illinois School for the Visually
18    Impaired requiring licensure by the State Board of
19    Education under Article 21B of the School Code and all
20    rehabilitation/mobility instructors and
21    rehabilitation/mobility instructor trainees at the
22    Illinois School for the Visually Impaired; and registered
23    nurses (except those registered nurses employed by the
24    Department of Public Health); all positions within the
25    Department of Human Services in the following classes and,
26    where designated, options: Clinical Pharmacist, Clinical

 

 

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1    Psychologist, Dentist I, Dentist II, Educator (Options A,
2    B, C, and E), Hearing and Speech Specialist, Licensed
3    Practical Nurse I, Licensed Practical Nurse II,
4    Nutritionist, Occupational Therapist, Occupational
5    Therapist Program Coordinator, Occupational Therapist
6    Supervisor, Pharmacy Lead Technician, Pharmacy Manager,
7    Pharmacy Technician, Physical therapist, Public Service
8    Administrator (Options 8C, 8J, 8K, 8O, 8P, 8S, 8T, 8U, 8V,
9    and 9A), Senior Public Service Administrator (Options 8K,
10    8O, 8P, 8S, and 8T), Social Worker IV, and Staff
11    Pharmacist; except those in positions in agencies which
12    receive federal funds if such exemption is inconsistent
13    with federal requirements and except those in positions in
14    agencies supported in whole by federal funds, are exempt
15    from jurisdiction B only to the extent that the
16    requirements of Section 8b.1, 8b.3 and 8b.5 of this Code
17    need not be met.
18        (6) All positions established outside the geographical
19    limits of the State of Illinois to which appointments of
20    other than Illinois citizens may be made are exempt from
21    jurisdiction B.
22        (7) Staff attorneys reporting directly to individual
23    Commissioners of the Illinois Workers' Compensation
24    Commission are exempt from jurisdiction B.
25        (8) Twenty-one senior public service administrator
26    positions within the Department of Healthcare and Family

 

 

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1    Services, as set forth in this paragraph (8), requiring the
2    specific knowledge of healthcare administration,
3    healthcare finance, healthcare data analytics, or
4    information technology described are exempt from
5    jurisdiction B only to the extent that the requirements of
6    Sections 8b.1, 8b.3, and 8b.5 of this Code need not be met.
7    The General Assembly finds that these positions are all
8    senior policy makers and have spokesperson authority for
9    the Director of the Department of Healthcare and Family
10    Services. When filling positions so designated, the
11    Director of Healthcare and Family Services shall cause a
12    position description to be published which allots points to
13    various qualifications desired. After scoring qualified
14    applications, the Director shall add Veteran's Preference
15    points as enumerated in Section 8b.7 of this Code. The
16    following are the minimum qualifications for the senior
17    public service administrator positions provided for in
18    this paragraph (8):
19            (A) HEALTHCARE ADMINISTRATION.
20                Medical Director: Licensed Medical Doctor in
21            good standing; experience in healthcare payment
22            systems, pay for performance initiatives, medical
23            necessity criteria or federal or State quality
24            improvement programs; preferred experience serving
25            Medicaid patients or experience in population
26            health programs with a large provider, health

 

 

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1            insurer, government agency, or research
2            institution.
3                Chief, Bureau of Quality Management: Advanced
4            degree in health policy or health professional
5            field preferred; at least 3 years experience in
6            implementing or managing healthcare quality
7            improvement initiatives in a clinical setting.
8                Quality Management Bureau: Manager, Care
9            Coordination/Managed Care Quality: Clinical degree
10            or advanced degree in relevant field required;
11            experience in the field of managed care quality
12            improvement, with knowledge of HEDIS measurements,
13            coding, and related data definitions.
14                Quality Management Bureau: Manager, Primary
15            Care Provider Quality and Practice Development:
16            Clinical degree or advanced degree in relevant
17            field required; experience in practice
18            administration in the primary care setting with a
19            provider or a provider association or an
20            accrediting body; knowledge of practice standards
21            for medical homes and best evidence based
22            standards of care for primary care.
23                Director of Care Coordination Contracts and
24            Compliance: Bachelor's degree required; multi-year
25            experience in negotiating managed care contracts,
26            preferably on behalf of a payer; experience with

 

 

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1            health care contract compliance.
2                Manager, Long Term Care Policy: Bachelor's
3            degree required; social work, gerontology, or
4            social service degree preferred; knowledge of
5            Olmstead and other relevant court decisions
6            required; experience working with diverse long
7            term care populations and service systems, federal
8            initiatives to create long term care community
9            options, and home and community-based waiver
10            services required. The General Assembly finds that
11            this position is necessary for the timely and
12            effective implementation of this amendatory Act of
13            the 97th General Assembly.
14                Manager, Behavioral Health Programs: Clinical
15            license or Advanced degree required, preferably in
16            psychology, social work, or relevant field;
17            knowledge of medical necessity criteria and
18            governmental policies and regulations governing
19            the provision of mental health services to
20            Medicaid populations, including children and
21            adults, in community and institutional settings of
22            care. The General Assembly finds that this
23            position is necessary for the timely and effective
24            implementation of this amendatory Act of the 97th
25            General Assembly.
26                Manager, Office of Accountable Care Entity

 

 

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1            Development: Bachelor's degree required, clinical
2            degree or advanced degree in relevant field
3            preferred; experience in developing integrated
4            delivery systems, including knowledge of health
5            homes and evidence-based standards of care
6            delivery; multi-year experience in health care or
7            public health management; knowledge of federal ACO
8            or other similar delivery system requirements and
9            strategies for improving health care delivery.
10                Manager of Federal Regulatory Compliance:
11            Bachelor's degree required, advanced degree
12            preferred, in healthcare management or relevant
13            field; experience in healthcare administration or
14            Medicaid State Plan amendments preferred;
15            experience interpreting federal rules; experience
16            with either federal health care agency or with a
17            State agency in working with federal regulations.
18                Manager, Office of Medical Project Management:
19            Bachelor's degree required, project management
20            certification preferred; multi-year experience in
21            project management and developing business analyst
22            skills; leadership skills to manage multiple and
23            complex projects.
24                Manager of Medicare/Medicaid Coordination:
25            Bachelor's degree required, knowledge and
26            experience with Medicare Advantage rules and

 

 

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1            regulations, knowledge of Medicaid laws and
2            policies; experience with contract drafting
3            preferred.
4                Chief, Bureau of Eligibility Integrity:
5            Bachelor's degree required, advanced degree in
6            public administration or business administration
7            preferred; experience equivalent to 4 years of
8            administration in a public or business
9            organization required; experience with managing
10            contract compliance required; knowledge of
11            Medicaid eligibility laws and policy preferred;
12            supervisory experience preferred. The General
13            Assembly finds that this position is necessary for
14            the timely and effective implementation of this
15            amendatory Act of the 97th General Assembly.
16            (B) HEALTHCARE FINANCE.
17                Director of Care Coordination Rate and
18            Finance: MBA, CPA, or Actuarial degree required;
19            experience in managed care rate setting,
20            including, but not limited to, baseline costs and
21            growth trends; knowledge and experience with
22            Medical Loss Ratio standards and measurements.
23                Director of Encounter Data Program: Bachelor's
24            degree required, advanced degree preferred,
25            preferably in health care, business, or
26            information systems; at least 2 years healthcare

 

 

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

 

 

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1            training.
2                Data Analytics Unit Manager: Bachelor's degree
3            required, advanced degree preferred, in
4            information systems, applied mathematics, or
5            another field with a strong analytics component;
6            extensive healthcare data reporting experience
7            with a large provider, health insurer, government
8            agency, or research institution; experience as a
9            business analyst interfacing between business and
10            information technology departments; in-depth
11            knowledge of health insurance coding and evolving
12            healthcare quality metrics; working knowledge of
13            SQL and/or SAS.
14                Data Analytics Platform Manager: Bachelor's
15            degree required, advanced degree preferred,
16            preferably in business or information systems;
17            extensive healthcare data reporting experience
18            with a large provider, health insurer, government
19            agency, or research institution; previous
20            experience working on a health insurance data
21            analytics platform; experience managing contracts
22            and vendors preferred.
23            (D) HEALTHCARE INFORMATION TECHNOLOGY.
24                Manager of MMIS Claims Unit: Bachelor's degree
25            required, with preferred coursework in business,
26            public administration, information systems;

 

 

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1            experience equivalent to 4 years of administration
2            in a public or business organization; working
3            knowledge with design and implementation of
4            technical solutions to medical claims payment
5            systems; extensive technical writing experience,
6            including, but not limited to, the development of
7            RFPs, APDs, feasibility studies, and related
8            documents; thorough knowledge of IT system design,
9            commercial off the shelf software packages and
10            hardware components.
11                Assistant Bureau Chief, Office of Information
12            Systems: Bachelor's degree required, with
13            preferred coursework in business, public
14            administration, information systems; experience
15            equivalent to 5 years of administration in a public
16            or private business organization; extensive
17            technical writing experience, including, but not
18            limited to, the development of RFPs, APDs,
19            feasibility studies and related documents;
20            extensive healthcare technology experience with a
21            large provider, health insurer, government agency,
22            or research institution; experience as a business
23            analyst interfacing between business and
24            information technology departments; thorough
25            knowledge of IT system design, commercial off the
26            shelf software packages and hardware components.

 

 

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