Illinois General Assembly - Full Text of Public Act 098-1146
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Public Act 098-1146





Public Act 098-1146
SB2992 EnrolledLRB098 17794 RLC 52916 b

    AN ACT concerning criminal law.
    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), all positions within the Department of
    Juvenile Justice requiring licensure by the State Board of
    Education under Article 21B of the School Code, 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-one 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.
    The General Assembly finds that these positions are all
    senior policy makers and have spokesperson authority for
    the Director of the Department of Healthcare and Family
    Services. 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):
                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
                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.
                Manager, Long Term Care Policy: Bachelor's
            degree required; social work, gerontology, or
            social service degree preferred; knowledge of
            Olmstead and other relevant court decisions
            required; experience working with diverse long
            term care populations and service systems, federal
            initiatives to create long term care community
            options, and home and community-based waiver
            services required. The General Assembly finds that
            this position is necessary for the timely and
            effective implementation of this amendatory Act of
            the 97th General Assembly.
                Manager, Behavioral Health Programs: Clinical
            license or Advanced degree required, preferably in
            psychology, social work, or relevant field;
            knowledge of medical necessity criteria and
            governmental policies and regulations governing
            the provision of mental health services to
            Medicaid populations, including children and
            adults, in community and institutional settings of
            care. The General Assembly finds that this
            position is necessary for the timely and effective
            implementation of this amendatory Act of the 97th
            General Assembly.
                Manager, Office of Accountable Care Entity
            Development: Bachelor's degree required, clinical
            degree or advanced degree in relevant field
            preferred; experience in developing integrated
            delivery systems, including knowledge of health
            homes and evidence-based standards of care
            delivery; multi-year experience in health care or
            public health management; knowledge of federal ACO
            or other similar delivery system requirements and
            strategies for improving health care delivery.
                Manager of Federal Regulatory Compliance:
            Bachelor's degree required, advanced degree
            preferred, in healthcare management or relevant
            field; experience in healthcare administration or
            Medicaid State Plan amendments preferred;
            experience interpreting federal rules; experience
            with either federal health care agency or with a
            State agency in working with federal regulations.
                Manager, Office of Medical Project Management:
            Bachelor's degree required, project management
            certification preferred; multi-year experience in
            project management and developing business analyst
            skills; leadership skills to manage multiple and
            complex projects.
                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
                Chief, Bureau of Eligibility Integrity:
            Bachelor's degree required, advanced degree in
            public administration or business administration
            preferred; experience equivalent to 4 years of
            administration in a public or business
            organization required; experience with managing
            contract compliance required; knowledge of
            Medicaid eligibility laws and policy preferred;
            supervisory experience preferred. The General
            Assembly finds that this position is necessary for
            the timely and effective implementation of this
            amendatory Act of the 97th General Assembly.
                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 health care, business, or
            information systems; at least 2 years healthcare
            or other similar data reporting experience,
            including, but not limited to, data definitions,
            submission, and editing; background in HIPAA
            transactions relevant to encounter data
            submission; experience with large provider, health
            insurer, government agency, or research
            institution or other knowledge of healthcare
            claims systems.
                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.
                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
                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.
                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. 97-649, eff. 12-30-11; 97-689, eff. 6-14-12;
98-104, eff. 7-22-13.)
    Section 99. Effective date. This Act takes effect upon
becoming law.

Effective Date: 12/30/2014