Rep. C.D. Davidsmeyer
Filed: 5/18/2015
 
 

 

 

 
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1
AMENDMENT TO SENATE BILL 220




2    AMENDMENT NO. ______. Amend Senate Bill 220 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 
7    Natural Resources requiring incumbents
to be either a 
8    registered professional engineer or to hold a bachelor's 
9    degree
in engineering from a recognized college or 
10    university; ,
licensed physicians in positions of medical 
11    administrator or physician or
physician specialist 
12    (including psychiatrists); , all positions within the 
13    Department of Juvenile Justice requiring licensure by the 
14    State Board of Education under Article 21B of the School 
15    Code; from the effective date of this amendatory Act of the 
16    99th General Assembly until January 1, 2017, all positions 
17    within the Illinois School for the Deaf and the Illinois 
18    School for the Visually Impaired requiring licensure by the 
19    State Board of Education under Article 21B of the School 
20    Code; ,  and registered nurses (except
those registered 
21    nurses employed by the Department of Public Health); , 
22    except
those in positions in agencies which receive federal 
23    funds if such
exemption is inconsistent with federal 
24    requirements and except those in
positions in agencies 
25    supported in whole by federal funds, are exempt from

26    jurisdiction B only to the extent that the requirements of 
 
 
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1    Section 8b.1,
8b.3 and 8b.5 of this Code need not be met.

2        (6) All positions established outside the geographical 
3    limits of the
State of Illinois to which appointments of 
4    other than Illinois citizens may
be made are exempt from 
5    jurisdiction B.

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


8    Commission are exempt from jurisdiction B.

9        (8) Twenty-one senior public service administrator 
10    positions within the Department of Healthcare and Family 
11    Services, as set forth in this paragraph (8), requiring the 
12    specific knowledge of healthcare administration, 
13    healthcare finance, healthcare data analytics, or 
14    information technology described are exempt from 
15    jurisdiction B only to the extent that the requirements of 
16    Sections 8b.1, 8b.3, and 8b.5 of this Code need not be met. 
17    The General Assembly finds that these positions are all 
18    senior policy makers and have spokesperson authority for 
19    the Director of the Department of Healthcare and Family 
20    Services. When filling positions so designated, the 
21    Director of Healthcare and Family Services shall cause a 
22    position description to be published which allots points to 
23    various qualifications desired.  After scoring qualified 
24    applications, the Director shall add Veteran's Preference 
25    points as enumerated in Section 8b.7 of this Code. The 
26    following are the minimum qualifications for the senior 
 
 
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1    public service administrator positions provided for in 
2    this paragraph (8):
3            (A) HEALTHCARE ADMINISTRATION.
4                Medical Director: Licensed Medical Doctor in 
5            good standing; experience in healthcare payment 
6            systems, pay for performance initiatives, medical 
7            necessity criteria or federal or State quality 
8            improvement programs; preferred experience serving 
9            Medicaid patients or experience in population 
10            health programs with a large provider, health 
11            insurer, government agency, or research 
12            institution.
13                Chief, Bureau of Quality Management:  Advanced 
14            degree in health policy or health professional 
15            field preferred; at least 3 years experience in 
16            implementing or managing healthcare quality 
17            improvement initiatives in a clinical setting.
18                Quality Management Bureau:  Manager, Care 
19            Coordination/Managed Care Quality:  Clinical degree 
20            or advanced degree in relevant field required; 
21            experience in the field of managed care quality 
22            improvement, with knowledge of HEDIS measurements, 
23            coding, and related data definitions.
24                Quality Management Bureau:  Manager, Primary 
25            Care Provider Quality and Practice Development:  
26            Clinical degree or advanced degree in relevant 
 
 
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1            field required; experience in practice 
2            administration in the primary care setting with a 
3            provider or a provider association or an 
4            accrediting body; knowledge of practice standards 
5            for medical homes and best evidence based 
6            standards of care for primary care.
7                Director of Care Coordination Contracts and 
8            Compliance:  Bachelor's degree required;  multi-year 
9            experience in negotiating managed care contracts, 
10            preferably on behalf of a payer; experience with 
11            health care contract compliance.
12                Manager, Long Term Care Policy:  Bachelor's 
13            degree required; social work, gerontology, or 
14            social service degree preferred; knowledge of 
15            Olmstead and other relevant court decisions 
16            required;  experience working with  diverse long 
17            term care populations and service systems,  federal 
18            initiatives to create long term care community 
19            options, and home and community-based waiver 
20            services required. The General Assembly finds that 
21            this position is necessary for the timely and 
22            effective implementation of this amendatory Act of 
23            the 97th General Assembly. 
24                Manager, Behavioral Health Programs:  Clinical 
25            license or Advanced degree required, preferably in 
26            psychology, social work, or relevant field; 
 
 
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1            knowledge of  medical necessity criteria and 
2            governmental policies and regulations governing 
3            the provision of mental health services to 
4            Medicaid populations, including children and 
5            adults, in community and institutional settings of 
6            care. The General Assembly finds that this 
7            position is necessary for the timely and effective 
8            implementation of this amendatory Act of the 97th 
9            General Assembly. 
10                Manager, Office of Accountable Care Entity 
11            Development:  Bachelor's degree required, clinical 
12            degree or advanced degree in relevant field 
13            preferred; experience in developing integrated 
14            delivery systems, including knowledge of health 
15            homes and evidence-based standards of care 
16            delivery; multi-year experience in health care or 
17            public health management; knowledge of federal ACO 
18            or other similar delivery system requirements and 
19            strategies for improving health care delivery.
20                Manager of Federal Regulatory Compliance:  
21            Bachelor's degree required, advanced degree 
22            preferred, in healthcare management or relevant 
23            field; experience in healthcare administration or 
24            Medicaid State Plan amendments preferred; 
25            experience interpreting federal rules; experience 
26            with either federal health care agency or with a 
 
 
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1            State agency in working with federal regulations.
2                Manager, Office of Medical Project Management: 
3            Bachelor's degree required, project management 
4            certification preferred; multi-year experience in 
5            project management and developing business analyst 
6            skills; leadership skills to manage multiple and 
7            complex projects. 
8                Manager of Medicare/Medicaid Coordination:  
9            Bachelor's degree required, knowledge and 
10            experience with Medicare Advantage rules and 
11            regulations, knowledge of Medicaid laws and 
12            policies; experience with contract drafting 
13            preferred.
14                Chief, Bureau of Eligibility Integrity: 
15            Bachelor's degree required, advanced degree in 
16            public administration or business administration 
17            preferred; experience equivalent to 4 years of 
18            administration in a public or business 
19            organization required; experience with managing 
20            contract compliance required; knowledge of 
21            Medicaid eligibility laws and policy preferred; 
22            supervisory experience preferred. The General 
23            Assembly finds that this position is necessary for 
24            the timely and effective implementation of this 
25            amendatory Act of the 97th General Assembly. 
26            (B) HEALTHCARE FINANCE.
 
 
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1                Director of Care Coordination Rate and 
2            Finance: MBA, CPA, or Actuarial degree required; 
3            experience in managed care rate setting, 
4            including, but not limited to, baseline costs and 
5            growth trends; knowledge and experience with 
6            Medical Loss Ratio standards and measurements.
7                Director of Encounter Data Program: Bachelor's 
8            degree required, advanced degree preferred, 
9            preferably in health care, business, or 
10            information systems; at least 2 years healthcare 
11            or other similar data reporting experience, 
12            including, but not limited to, data definitions, 
13            submission, and editing; background in HIPAA 
14            transactions relevant to encounter data 
15            submission; experience with large provider, health 
16            insurer, government agency, or research 
17            institution or other knowledge of healthcare 
18            claims systems.
19                Manager of Medical Finance, Division of 
20            Finance:  Requires relevant advanced degree or 
21            certification in relevant field, such as Certified 
22            Public Accountant; coursework in business or 
23            public administration, accounting, finance, data 
24            analysis, or statistics preferred; experience in 
25            control systems and GAAP; financial management 
26            experience in a healthcare or government entity 
 
 
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1            utilizing Medicaid funding.
2            (C) HEALTHCARE DATA ANALYTICS.
3                Data Quality Assurance Manager: Bachelor's 
4            degree required, advanced degree preferred, 
5            preferably in business, information systems, or 
6            epidemiology; at least 3 years of extensive 
7            healthcare data reporting experience with a large 
8            provider, health insurer, government agency, or 
9            research institution; previous data quality 
10            assurance role or formal data quality assurance 
11            training.
12                Data Analytics Unit Manager:  Bachelor's degree 
13            required, advanced degree preferred, in 
14            information systems, applied mathematics, or 
15            another field with a strong analytics component; 
16            extensive healthcare data reporting experience 
17            with a large provider, health insurer, government 
18            agency, or research institution; experience as a 
19            business analyst interfacing between business and 
20            information technology departments; in-depth 
21            knowledge of health insurance coding and evolving 
22            healthcare quality metrics; working knowledge of 
23            SQL and/or SAS.
24                Data Analytics Platform Manager: Bachelor's 
25            degree required, advanced degree preferred, 
26            preferably in business or information systems; 
 
 
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1            extensive healthcare data reporting experience 
2            with a large provider, health insurer, government 
3            agency, or research institution; previous 
4            experience working on a health insurance data 
5            analytics platform; experience managing contracts 
6            and vendors preferred.
7            (D) HEALTHCARE INFORMATION TECHNOLOGY.
8                Manager of MMIS Claims Unit: Bachelor's degree 
9            required, with preferred coursework in business, 
10            public administration, information systems; 
11            experience equivalent to 4 years of administration  
12            in a public or business organization; working 
13            knowledge with design and implementation of 
14            technical solutions to medical claims payment 
15            systems; extensive technical writing experience, 
16            including, but not limited to, the development of 
17            RFPs, APDs, feasibility studies, and related 
18            documents; thorough knowledge of IT system design, 
19            commercial off the shelf software packages and 
20            hardware components.
21                Assistant Bureau Chief, Office of Information 
22            Systems:  Bachelor's degree required, with 
23            preferred coursework in business, public 
24            administration, information systems;  experience 
25            equivalent to 5 years of administration in a public 
26            or private business organization; extensive 
 
 
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1            technical writing experience, including, but not 
2            limited to, the development of RFPs, APDs, 
3            feasibility studies and related documents; 
4            extensive healthcare technology experience with a 
5            large provider, health insurer, government agency, 
6            or research institution; experience as a business 
7            analyst interfacing between business and 
8            information technology departments; thorough 
9            knowledge of IT system design, commercial off the 
10            shelf software packages and hardware components.
11                Technical System Architect:  Bachelor's degree 
12            required, with preferred coursework in computer 
13            science or information technology; prior 
14            experience equivalent to 5 years of computer 
15            science or IT administration in a public or 
16            business organization; extensive healthcare 
17            technology experience with a large provider, 
18            health insurer, government agency, or research 
19            institution; experience as a business analyst 
20            interfacing between business and information 
21            technology departments.
22    The provisions of this paragraph (8), other than this 
23    sentence, are inoperative after January 1, 2014. 
24(Source: P.A. 97-649, eff. 12-30-11; 97-689, eff. 6-14-12; 
2598-104, eff. 7-22-13; 98-1146, eff. 12-30-14.)


 
 
 
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1    Section 99. Effective date. This Act takes effect upon 
2becoming law.".