Illinois General Assembly - Full Text of SB2992
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Full Text of SB2992  98th General Assembly


Rep. Barbara Flynn Currie

Filed: 12/1/2014





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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):
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.
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.
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.)".