Illinois General Assembly - Full Text of SB1762
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Full Text of SB1762  97th General Assembly


Rep. Barbara Flynn Currie

Filed: 11/28/2011





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2    AMENDMENT NO. ______. Amend Senate Bill 1762, AS AMENDED,
3by replacing everything after the enacting clause with the
5    "Section 5. The Personnel Code is amended by changing
6Section 4d as follows:
7    (20 ILCS 415/4d)  (from Ch. 127, par. 63b104d)
8    Sec. 4d. Partial exemptions. The following positions in
9State service are exempt from jurisdictions A, B, and C to the
10extent stated for each, unless those jurisdictions are extended
11as provided in this Act:
12    (1) In each department, board or commission that now
13maintains or may hereafter maintain a major administrative
14division, service or office in both Sangamon County and Cook
15County, 2 private secretaries for the director or chairman
16thereof, one located in the Cook County office and the other



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



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1Section 1.22 of "An Act to standardize position titles and
2salary rates", approved June 30, 1943, as amended, shall be
3exempt from jurisdiction B.
4    (5) Licensed attorneys in positions as legal or technical
5advisors, positions in the Department of Natural Resources
6requiring incumbents to be either a registered professional
7engineer or to hold a bachelor's degree in engineering from a
8recognized college or university, licensed physicians in
9positions of medical administrator or physician or physician
10specialist (including psychiatrists), and registered nurses
11(except those registered nurses employed by the Department of
12Public Health), except those in positions in agencies which
13receive federal funds if such exemption is inconsistent with
14federal requirements and except those in positions in agencies
15supported in whole by federal funds, are exempt from
16jurisdiction B only to the extent that the requirements of
17Section 8b.1, 8b.3 and 8b.5 of this Code need not be met.
18    (6) All positions established outside the geographical
19limits of the State of Illinois to which appointments of other
20than Illinois citizens may be made are exempt from jurisdiction
22    (7) Staff attorneys reporting directly to individual
23Commissioners of the Illinois Workers' Compensation Commission
24are exempt from jurisdiction B.
25    (8) Twenty senior public service administrator positions
26within the Department of Healthcare and Family Services, as set



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



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1        in a clinical setting.
2            Quality Management Bureau: Manager, Care
3        Coordination/Managed Care Quality: Clinical degree or
4        advanced degree in relevant field required; experience
5        in the field of managed care quality improvement, with
6        knowledge of HEDIS measurements, coding, and related
7        data definitions.
8            Quality Management Bureau: Manager, Primary Care
9        Provider Quality and Practice Development: Clinical
10        degree or advanced degree in relevant field required;
11        experience in practice administration in the primary
12        care setting with a provider or a provider association
13        or an accrediting body; knowledge of practice
14        standards for medical homes and best evidence based
15        standards of care for primary care.
16            Director of Care Coordination Contracts and
17        Compliance: Bachelor's degree required; multi-year
18        experience in negotiating managed care contracts,
19        preferably on behalf of a payer; experience with health
20        care contract compliance.
21            Chief, Bureau of Pharmacy Services: Bachelor's
22        degree required; pharmacy degree preferred; in
23        formulary development and management from both a
24        clinical and financial perspective, experience in
25        prescription drug utilization review and utilization
26        control policies, knowledge of retail pharmacy



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1        reimbursement policies and methodologies and available
2        benchmarks, knowledge of Medicare Part D benefit
3        design.
4            Chief, Bureau of Maternal and Child Health
5        Promotion: Bachelor's degree required, advanced degree
6        preferred, in public health, health care management,
7        or a clinical field; multi-year experience in health
8        care or public health management; knowledge of federal
9        EPSDT requirements and strategies for improving health
10        care for children as well as improving birth outcomes.
11            Director of Dental Program: Bachelor's degree
12        required, advanced degree preferred, in healthcare
13        management or relevant field; experience in healthcare
14        administration; experience in administering dental
15        healthcare programs, knowledge of practice standards
16        for dental care and treatment services; knowledge of
17        the public dental health infrastructure.
18            Manager of Medicare/Medicaid Coordination:
19        Bachelor's degree required, knowledge and experience
20        with Medicare Advantage rules and regulations,
21        knowledge of Medicaid laws and policies; experience
22        with contract drafting preferred.
24            Director of Care Coordination Rate and Finance:
25        MBA, CPA, or Actuarial degree required; experience in
26        managed care rate setting, including, but not limited



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1        to, baseline costs and growth trends; knowledge and
2        experience with Medical Loss Ratio standards and
3        measurements.
4            Director of Encounter Data Program: Bachelor's
5        degree required, advanced degree preferred, preferably
6        in business or information systems; at least 2 years
7        healthcare data reporting experience, including, but
8        not limited to, data definitions, submission, and
9        editing; strong background in HIPAA transactions
10        relevant to encounter data submission; knowledge of
11        healthcare claims systems.
12            Chief, Bureau of Rate Development and Analysis:
13        Bachelor's degree required, advanced degree preferred,
14        with preferred coursework in business or public
15        administration, accounting, finance, data analysis, or
16        statistics; experience with Medicaid reimbursement
17        methodologies and regulations; experience with
18        extracting data from large systems for analysis.
19            Manager of Medical Finance, Division of Finance:
20        Requires relevant advanced degree or certification in
21        relevant field, such as Certified Public Accountant;
22        coursework in business or public administration,
23        accounting, finance, data analysis, or statistics
24        preferred; experience in control systems and GAAP;
25        financial management experience in a healthcare or
26        government entity utilizing Medicaid funding.



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



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



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1        including but not limited to the development of RFPs,
2        APDs, feasibility studies and related documents;
3        extensive healthcare technology experience with a
4        large provider, health insurer, government agency, or
5        research institution; experience as a business analyst
6        interfacing between business and information
7        technology departments; thorough knowledge of IT
8        system design, commercial off the shelf software
9        packages and hardware components.
10            Technical System Architect: Bachelor's degree
11        required, with preferred coursework in computer
12        science or information technology; prior experience
13        equivalent to 5 years of computer science or IT
14        administration in a public or business organization;
15        extensive healthcare technology experience with a
16        large provider, health insurer, government agency, or
17        research institution; experience as a business analyst
18        interfacing between business and information
19        technology departments.
20The provisions of this paragraph (8), other than this sentence,
21are inoperative after January 1, 2014.
22(Source: P.A. 93-721, eff. 1-1-05.)
23    Section 99. Effective date. This Act takes effect upon
24becoming law.".