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| Public Act 098-1146
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| SB2992 Enrolled | LRB098 17794 RLC 52916 b |
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AN ACT concerning criminal law.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 5. The Personnel Code is amended by changing |
Section 4d as follows:
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(20 ILCS 415/4d) (from Ch. 127, par. 63b104d)
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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:
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(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
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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 |
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exemptions as may be necessary to assure the continuity of |
federal
contributions in those agencies supported in whole |
or in part by federal
funds.
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(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.
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(3) The Civil Service Commission, upon written |
recommendation of the
Director of Central Management |
Services, shall exempt
from jurisdiction B other positions
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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
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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.
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(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.
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(5) Licensed attorneys in positions as legal or |
technical advisors, positions in the Department of Natural |
Resources requiring incumbents
to be either a registered |
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professional engineer or to hold a bachelor's degree
in |
engineering from a recognized college or university,
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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
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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.
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(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.
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(7) Staff attorneys reporting directly to individual |
Commissioners of
the Illinois Workers' Compensation
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Commission are exempt from jurisdiction B.
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(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, |
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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): |
(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. |
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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 |
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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 |
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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 |
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preferred. |
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. |
(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 health care, business, or |
information systems; at least 2 years healthcare |
or other similar data reporting experience, |
including, but not limited to, data definitions, |
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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. |
(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 |
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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 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 |
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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 |
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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.)
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