Public Act 097-0649
 
SB1762 EnrolledLRB097 06104 CEL 46177 b

    AN ACT concerning State government.
 
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
 
    Section 5. The Personnel Code is amended by changing
Section 4d as follows:
 
    (20 ILCS 415/4d)  (from Ch. 127, par. 63b104d)
    Sec. 4d. Partial exemptions. The following positions in
State service are exempt from jurisdictions A, B, and C to the
extent stated for each, unless those jurisdictions are extended
as provided in this Act:
    (1) In each department, board or commission that now
maintains or may hereafter maintain a major administrative
division, service or office in both Sangamon County and Cook
County, 2 private secretaries for the director or chairman
thereof, one located in the Cook County office and the other
located in the Sangamon County office, shall be exempt from
jurisdiction B; in all other departments, boards and
commissions one private secretary for the director or chairman
thereof shall be exempt from jurisdiction B. In all
departments, boards and commissions one confidential assistant
for the director or chairman thereof shall be exempt from
jurisdiction B. This paragraph is subject to such modifications
or waiver of the exemptions as may be necessary to assure the
continuity of federal contributions in those agencies
supported in whole or in part by federal funds.
    (2) The resident administrative head of each State
charitable, penal and correctional institution, the chaplains
thereof, and all member, patient and inmate employees are
exempt from jurisdiction B.
    (3) The Civil Service Commission, upon written
recommendation of the Director of Central Management Services,
shall exempt from jurisdiction B other positions which, in the
judgment of the Commission, involve either principal
administrative responsibility for the determination of policy
or principal administrative responsibility for the way in which
policies are carried out, except positions in agencies which
receive federal funds if such exemption is inconsistent with
federal requirements, and except positions in agencies
supported in whole by federal funds.
    (4) All beauticians and teachers of beauty culture and
teachers of barbering, and all positions heretofore paid under
Section 1.22 of "An Act to standardize position titles and
salary rates", approved June 30, 1943, as amended, shall be
exempt from jurisdiction B.
    (5) Licensed attorneys in positions as legal or technical
advisors, positions in the Department of Natural Resources
requiring incumbents to be either a registered professional
engineer or to hold a bachelor's degree in engineering from a
recognized college or university, licensed physicians in
positions of medical administrator or physician or physician
specialist (including psychiatrists), and registered nurses
(except those registered nurses employed by the Department of
Public Health), except those in positions in agencies which
receive federal funds if such exemption is inconsistent with
federal requirements and except those in positions in agencies
supported in whole by federal funds, are exempt from
jurisdiction B only to the extent that the requirements of
Section 8b.1, 8b.3 and 8b.5 of this Code need not be met.
    (6) All positions established outside the geographical
limits of the State of Illinois to which appointments of other
than Illinois citizens may be made are exempt from jurisdiction
B.
    (7) Staff attorneys reporting directly to individual
Commissioners of the Illinois Workers' Compensation Commission
are exempt from jurisdiction B.
    (8) Twenty senior public service administrator positions
within the Department of Healthcare and Family Services, as set
forth in this paragraph (8), requiring the specific knowledge
of healthcare administration, healthcare finance, healthcare
data analytics, or information technology described are exempt
from jurisdiction B only to the extent that the requirements of
Sections 8b.1, 8b.3, and 8b.5 of this Code need not be met.
When filling positions so designated, the Director of
Healthcare and Family Services shall cause a position
description to be published which allots points to various
qualifications desired. After scoring qualified applications,
the Director shall add Veteran's Preference points as
enumerated in Section 8b.7 of this Code. The following are the
minimum qualifications for the senior public service
administrator positions provided for in this paragraph (8):
        (A) HEALTHCARE ADMINISTRATION.
            Medical Director: Licensed Medical Doctor in good
        standing; experience in healthcare payment systems,
        pay for performance initiatives, medical necessity
        criteria or federal or State quality improvement
        programs; preferred experience serving Medicaid
        patients or experience in population health programs
        with a large provider, health insurer, government
        agency, or research institution.
            Chief, Bureau of Quality Management: Advanced
        degree in health policy or health professional field
        preferred; at least 3 years experience in implementing
        or managing healthcare quality improvement initiatives
        in a clinical setting.
            Quality Management Bureau: Manager, Care
        Coordination/Managed Care Quality: Clinical degree or
        advanced degree in relevant field required; experience
        in the field of managed care quality improvement, with
        knowledge of HEDIS measurements, coding, and related
        data definitions.
            Quality Management Bureau: Manager, Primary Care
        Provider Quality and Practice Development: Clinical
        degree or advanced degree in relevant field required;
        experience in practice administration in the primary
        care setting with a provider or a provider association
        or an accrediting body; knowledge of practice
        standards for medical homes and best evidence based
        standards of care for primary care.
            Director of Care Coordination Contracts and
        Compliance: Bachelor's degree required; multi-year
        experience in negotiating managed care contracts,
        preferably on behalf of a payer; experience with health
        care contract compliance.
            Chief, Bureau of Pharmacy Services: Bachelor's
        degree required; pharmacy degree preferred; in
        formulary development and management from both a
        clinical and financial perspective, experience in
        prescription drug utilization review and utilization
        control policies, knowledge of retail pharmacy
        reimbursement policies and methodologies and available
        benchmarks, knowledge of Medicare Part D benefit
        design.
            Chief, Bureau of Maternal and Child Health
        Promotion: Bachelor's degree required, advanced degree
        preferred, in public health, health care management,
        or a clinical field; multi-year experience in health
        care or public health management; knowledge of federal
        EPSDT requirements and strategies for improving health
        care for children as well as improving birth outcomes.
            Director of Dental Program: Bachelor's degree
        required, advanced degree preferred, in healthcare
        management or relevant field; experience in healthcare
        administration; experience in administering dental
        healthcare programs, knowledge of practice standards
        for dental care and treatment services; knowledge of
        the public dental health infrastructure.
            Manager of Medicare/Medicaid Coordination:
        Bachelor's degree required, knowledge and experience
        with Medicare Advantage rules and regulations,
        knowledge of Medicaid laws and policies; experience
        with contract drafting preferred.
        (B) HEALTHCARE FINANCE.
            Director of Care Coordination Rate and Finance:
        MBA, CPA, or Actuarial degree required; experience in
        managed care rate setting, including, but not limited
        to, baseline costs and growth trends; knowledge and
        experience with Medical Loss Ratio standards and
        measurements.
            Director of Encounter Data Program: Bachelor's
        degree required, advanced degree preferred, preferably
        in business or information systems; at least 2 years
        healthcare data reporting experience, including, but
        not limited to, data definitions, submission, and
        editing; strong background in HIPAA transactions
        relevant to encounter data submission; knowledge of
        healthcare claims systems.
            Chief, Bureau of Rate Development and Analysis:
        Bachelor's degree required, advanced degree preferred,
        with preferred coursework in business or public
        administration, accounting, finance, data analysis, or
        statistics; experience with Medicaid reimbursement
        methodologies and regulations; experience with
        extracting data from large systems for analysis.
            Manager of Medical Finance, Division of Finance:
        Requires relevant advanced degree or certification in
        relevant field, such as Certified Public Accountant;
        coursework in business or public administration,
        accounting, finance, data analysis, or statistics
        preferred; experience in control systems and GAAP;
        financial management experience in a healthcare or
        government entity utilizing Medicaid funding.
        (C) HEALTHCARE DATA ANALYTICS.
            Data Quality Assurance Manager: Bachelor's degree
        required, advanced degree preferred, preferably in
        business, information systems, or epidemiology; at
        least 3 years of extensive healthcare data reporting
        experience with a large provider, health insurer,
        government agency, or research institution; previous
        data quality assurance role or formal data quality
        assurance training.
            Data Analytics Unit Manager: Bachelor's degree
        required, advanced degree preferred, in information
        systems, applied mathematics, or another field with a
        strong analytics component; extensive healthcare data
        reporting experience with a large provider, health
        insurer, government agency, or research institution;
        experience as a business analyst interfacing between
        business and information technology departments;
        in-depth knowledge of health insurance coding and
        evolving healthcare quality metrics; working knowledge
        of SQL and/or SAS.
            Data Analytics Platform Manager: Bachelor's degree
        required, advanced degree preferred, preferably in
        business or information systems; extensive healthcare
        data reporting experience with a large provider,
        health insurer, government agency, or research
        institution; previous experience working on a health
        insurance data analytics platform; experience managing
        contracts and vendors preferred.
        (D) HEALTHCARE INFORMATION TECHNOLOGY.
            Manager of Recipient Provider Reference Unit:
        Bachelor's degree required; experience equivalent to 4
        years of administration in a public or business
        organization; 3 years of administrative experience in
        a computer-based management information system.
            Manager of MMIS Claims Unit: Bachelor's degree
        required, with preferred coursework in business,
        public administration, information systems; experience
        equivalent to 4 years of administration in a public or
        business organization; working knowledge with design
        and implementation of technical solutions to medical
        claims payment systems; extensive technical writing
        experience, including, but not limited to, the
        development of RFPs, APDs, feasibility studies, and
        related documents; thorough knowledge of IT system
        design, commercial off the shelf software packages and
        hardware components.
            Assistant Bureau Chief, Office of Information
        Systems: Bachelor's degree required, with preferred
        coursework in business, public administration,
        information systems; experience equivalent to 5 years
        of administration in a public or private business
        organization; extensive technical writing experience,
        including, but not limited to, the development of RFPs,
        APDs, feasibility studies and related documents;
        extensive healthcare technology experience with a
        large provider, health insurer, government agency, or
        research institution; experience as a business analyst
        interfacing between business and information
        technology departments; thorough knowledge of IT
        system design, commercial off the shelf software
        packages and hardware components.
            Technical System Architect: Bachelor's degree
        required, with preferred coursework in computer
        science or information technology; prior experience
        equivalent to 5 years of computer science or IT
        administration in a public or business organization;
        extensive healthcare technology experience with a
        large provider, health insurer, government agency, or
        research institution; experience as a business analyst
        interfacing between business and information
        technology departments.
The provisions of this paragraph (8), other than this sentence,
are inoperative after January 1, 2014.
(Source: P.A. 93-721, eff. 1-1-05.)
 
    Section 99. Effective date. This Act takes effect upon
becoming law.