Rep. Barbara Flynn Currie
Filed: 12/1/2014
 
 

 

 

 
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1
AMENDMENT TO SENATE BILL 2992




2    AMENDMENT NO. ______. Amend Senate Bill 2992 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, and 
15    registered nurses (except
those registered nurses employed 
16    by the Department of Public Health), except
those in 
17    positions in agencies which receive federal funds if such

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

23        (6) All positions established outside the geographical 
24    limits of the
State of Illinois to which appointments of 
25    other than Illinois citizens may
be made are exempt from 
26    jurisdiction B.

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


3    Commission are exempt from jurisdiction B.

4        (8) Twenty-one senior public service administrator 
5    positions within the Department of Healthcare and Family 
6    Services, as set forth in this paragraph (8), requiring the 
7    specific knowledge of healthcare administration, 
8    healthcare finance, healthcare data analytics, or 
9    information technology described are exempt from 
10    jurisdiction B only to the extent that the requirements of 
11    Sections 8b.1, 8b.3, and 8b.5 of this Code need not be met. 
12    The General Assembly finds that these positions are all 
13    senior policy makers and have spokesperson authority for 
14    the Director of the Department of Healthcare and Family 
15    Services. When filling positions so designated, the 
16    Director of Healthcare and Family Services shall cause a 
17    position description to be published which allots points to 
18    various qualifications desired.  After scoring qualified 
19    applications, the Director shall add Veteran's Preference 
20    points as enumerated in Section 8b.7 of this Code. The 
21    following are the minimum qualifications for the senior 
22    public service administrator positions provided for in 
23    this paragraph (8):
24            (A) HEALTHCARE ADMINISTRATION.
25                Medical Director: Licensed Medical Doctor in 
26            good standing; experience in healthcare payment 
 
 
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1            systems, pay for performance initiatives, medical 
2            necessity criteria or federal or State quality 
3            improvement programs; preferred experience serving 
4            Medicaid patients or experience in population 
5            health programs with a large provider, health 
6            insurer, government agency, or research 
7            institution.
8                Chief, Bureau of Quality Management:  Advanced 
9            degree in health policy or health professional 
10            field preferred; at least 3 years experience in 
11            implementing or managing healthcare quality 
12            improvement initiatives in a clinical setting.
13                Quality Management Bureau:  Manager, Care 
14            Coordination/Managed Care Quality:  Clinical degree 
15            or advanced degree in relevant field required; 
16            experience in the field of managed care quality 
17            improvement, with knowledge of HEDIS measurements, 
18            coding, and related data definitions.
19                Quality Management Bureau:  Manager, Primary 
20            Care Provider Quality and Practice Development:  
21            Clinical degree or advanced degree in relevant 
22            field required; experience in practice 
23            administration in the primary care setting with a 
24            provider or a provider association or an 
25            accrediting body; knowledge of practice standards 
26            for medical homes and best evidence based 
 
 
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1            standards of care for primary care.
2                Director of Care Coordination Contracts and 
3            Compliance:  Bachelor's degree required;  multi-year 
4            experience in negotiating managed care contracts, 
5            preferably on behalf of a payer; experience with 
6            health care contract compliance.
7                Manager, Long Term Care Policy:  Bachelor's 
8            degree required; social work, gerontology, or 
9            social service degree preferred; knowledge of 
10            Olmstead and other relevant court decisions 
11            required;  experience working with  diverse long 
12            term care populations and service systems,  federal 
13            initiatives to create long term care community 
14            options, and home and community-based waiver 
15            services required. The General Assembly finds that 
16            this position is necessary for the timely and 
17            effective implementation of this amendatory Act of 
18            the 97th General Assembly. 
19                Manager, Behavioral Health Programs:  Clinical 
20            license or Advanced degree required, preferably in 
21            psychology, social work, or relevant field; 
22            knowledge of  medical necessity criteria and 
23            governmental policies and regulations governing 
24            the provision of mental health services to 
25            Medicaid populations, including children and 
26            adults, in community and institutional settings of 
 
 
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1            care. The General Assembly finds that this 
2            position is necessary for the timely and effective 
3            implementation of this amendatory Act of the 97th 
4            General Assembly. 
5                Manager, Office of Accountable Care Entity 
6            Development:  Bachelor's degree required, clinical 
7            degree or advanced degree in relevant field 
8            preferred; experience in developing integrated 
9            delivery systems, including knowledge of health 
10            homes and evidence-based standards of care 
11            delivery; multi-year experience in health care or 
12            public health management; knowledge of federal ACO 
13            or other similar delivery system requirements and 
14            strategies for improving health care delivery.
15                Manager of Federal Regulatory Compliance:  
16            Bachelor's degree required, advanced degree 
17            preferred, in healthcare management or relevant 
18            field; experience in healthcare administration or 
19            Medicaid State Plan amendments preferred; 
20            experience interpreting federal rules; experience 
21            with either federal health care agency or with a 
22            State agency in working with federal regulations.
23                Manager, Office of Medical Project Management: 
24            Bachelor's degree required, project management 
25            certification preferred; multi-year experience in 
26            project management and developing business analyst 
 
 
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1            skills; leadership skills to manage multiple and 
2            complex projects. 
3                Manager of Medicare/Medicaid Coordination:  
4            Bachelor's degree required, knowledge and 
5            experience with Medicare Advantage rules and 
6            regulations, knowledge of Medicaid laws and 
7            policies; experience with contract drafting 
8            preferred.
9                Chief, Bureau of Eligibility Integrity: 
10            Bachelor's degree required, advanced degree in 
11            public administration or business administration 
12            preferred; experience equivalent to 4 years of 
13            administration in a public or business 
14            organization required; experience with managing 
15            contract compliance required; knowledge of 
16            Medicaid eligibility laws and policy preferred; 
17            supervisory experience preferred. The General 
18            Assembly finds that this position is necessary for 
19            the timely and effective implementation of this 
20            amendatory Act of the 97th General Assembly. 
21            (B) HEALTHCARE FINANCE.
22                Director of Care Coordination Rate and 
23            Finance: MBA, CPA, or Actuarial degree required; 
24            experience in managed care rate setting, 
25            including, but not limited to, baseline costs and 
26            growth trends; knowledge and experience with 
 
 
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1            Medical Loss Ratio standards and measurements.
2                Director of Encounter Data Program: Bachelor's 
3            degree required, advanced degree preferred, 
4            preferably in health care, business, or 
5            information systems; at least 2 years healthcare 
6            or other similar data reporting experience, 
7            including, but not limited to, data definitions, 
8            submission, and editing; background in HIPAA 
9            transactions relevant to encounter data 
10            submission; experience with large provider, health 
11            insurer, government agency, or research 
12            institution or other knowledge of healthcare 
13            claims systems.
14                Manager of Medical Finance, Division of 
15            Finance:  Requires relevant advanced degree or 
16            certification in relevant field, such as Certified 
17            Public Accountant; coursework in business or 
18            public administration, accounting, finance, data 
19            analysis, or statistics preferred; experience in 
20            control systems and GAAP; financial management 
21            experience in a healthcare or government entity 
22            utilizing Medicaid funding.
23            (C) HEALTHCARE DATA ANALYTICS.
24                Data Quality Assurance Manager: Bachelor's 
25            degree required, advanced degree preferred, 
26            preferably in business, information systems, or 
 
 
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1            epidemiology; at least 3 years of extensive 
2            healthcare data reporting experience with a large 
3            provider, health insurer, government agency, or 
4            research institution; previous data quality 
5            assurance role or formal data quality assurance 
6            training.
7                Data Analytics Unit Manager:  Bachelor's degree 
8            required, advanced degree preferred, in 
9            information systems, applied mathematics, or 
10            another field with a strong analytics component; 
11            extensive healthcare data reporting experience 
12            with a large provider, health insurer, government 
13            agency, or research institution; experience as a 
14            business analyst interfacing between business and 
15            information technology departments; in-depth 
16            knowledge of health insurance coding and evolving 
17            healthcare quality metrics; working knowledge of 
18            SQL and/or SAS.
19                Data Analytics Platform Manager: Bachelor's 
20            degree required, advanced degree preferred, 
21            preferably in business or information systems; 
22            extensive healthcare data reporting experience 
23            with a large provider, health insurer, government 
24            agency, or research institution; previous 
25            experience working on a health insurance data 
26            analytics platform; experience managing contracts 
 
 
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1            and vendors preferred.
2            (D) HEALTHCARE INFORMATION TECHNOLOGY.
3                Manager of MMIS Claims Unit: Bachelor's degree 
4            required, with preferred coursework in business, 
5            public administration, information systems; 
6            experience equivalent to 4 years of administration  
7            in a public or business organization; working 
8            knowledge with design and implementation of 
9            technical solutions to medical claims payment 
10            systems; extensive technical writing experience, 
11            including, but not limited to, the development of 
12            RFPs, APDs, feasibility studies, and related 
13            documents; thorough knowledge of IT system design, 
14            commercial off the shelf software packages and 
15            hardware components.
16                Assistant Bureau Chief, Office of Information 
17            Systems:  Bachelor's degree required, with 
18            preferred coursework in business, public 
19            administration, information systems;  experience 
20            equivalent to 5 years of administration in a public 
21            or private business organization; extensive 
22            technical writing experience, including, but not 
23            limited to, the development of RFPs, APDs, 
24            feasibility studies and related documents; 
25            extensive healthcare technology experience with a 
26            large provider, health insurer, government agency, 
 
 
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1            or research institution; experience as a business 
2            analyst interfacing between business and 
3            information technology departments; thorough 
4            knowledge of IT system design, commercial off the 
5            shelf software packages and hardware components.
6                Technical System Architect:  Bachelor's degree 
7            required, with preferred coursework in computer 
8            science or information technology; prior 
9            experience equivalent to 5 years of computer 
10            science or IT administration in a public or 
11            business organization; extensive healthcare 
12            technology experience with a large provider, 
13            health insurer, government agency, or research 
14            institution; experience as a business analyst 
15            interfacing between business and information 
16            technology departments.
17    The provisions of this paragraph (8), other than this 
18    sentence, are inoperative after January 1, 2014. 
19(Source: P.A. 97-649, eff. 12-30-11; 97-689, eff. 6-14-12; 
2098-104, eff. 7-22-13.)".