Rep. C.D. Davidsmeyer
Filed: 3/9/2017
 
 

 

 

 
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1
AMENDMENT TO HOUSE BILL 2377 




2    AMENDMENT NO. ______. Amend House Bill 2377 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; from July 
15    15, 2015 (the effective date of Public Act 99-45) this 
16    amendatory Act of the 99th General Assembly until August 
17    30, 2019 January 1, 2017, all positions within the Illinois 
18    School for the Deaf and the Illinois School for the 
19    Visually Impaired requiring licensure by the State Board of 
20    Education under Article 21B of the School Code and all 
21    rehabilitation/mobility instructors and 
22    rehabilitation/mobility instructor trainees at the 
23    Illinois School for the Visually Impaired;   and registered 
24    nurses (except
those registered nurses employed by the 
25    Department of Public Health); except
those in positions in 
26    agencies which receive federal funds if such
exemption is 
 
 
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1    inconsistent with federal requirements and except those in

2    positions in agencies supported in whole by federal funds, 
3    are exempt from
jurisdiction B only to the extent that the 
4    requirements of Section 8b.1,
8b.3 and 8b.5 of this Code 
5    need not be met.

6        (6) All positions established outside the geographical 
7    limits of the
State of Illinois to which appointments of 
8    other than Illinois citizens may
be made are exempt from 
9    jurisdiction B.

10        (7) Staff attorneys reporting directly to individual 
11    Commissioners of
the Illinois Workers' Compensation


12    Commission are exempt from jurisdiction B.

13        (8) Twenty-one senior public service administrator 
14    positions within the Department of Healthcare and Family 
15    Services, as set forth in this paragraph (8), requiring the 
16    specific knowledge of healthcare administration, 
17    healthcare finance, healthcare data analytics, or 
18    information technology described are exempt from 
19    jurisdiction B only to the extent that the requirements of 
20    Sections 8b.1, 8b.3, and 8b.5 of this Code need not be met. 
21    The General Assembly finds that these positions are all 
22    senior policy makers and have spokesperson authority for 
23    the Director of the Department of Healthcare and Family 
24    Services. When filling positions so designated, the 
25    Director of Healthcare and Family Services shall cause a 
26    position description to be published which allots points to 
 
 
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1    various qualifications desired.  After scoring qualified 
2    applications, the Director shall add Veteran's Preference 
3    points as enumerated in Section 8b.7 of this Code. The 
4    following are the minimum qualifications for the senior 
5    public service administrator positions provided for in 
6    this paragraph (8):
7            (A) HEALTHCARE ADMINISTRATION.
8                Medical Director: Licensed Medical Doctor in 
9            good standing; experience in healthcare payment 
10            systems, pay for performance initiatives, medical 
11            necessity criteria or federal or State quality 
12            improvement programs; preferred experience serving 
13            Medicaid patients or experience in population 
14            health programs with a large provider, health 
15            insurer, government agency, or research 
16            institution.
17                Chief, Bureau of Quality Management:  Advanced 
18            degree in health policy or health professional 
19            field preferred; at least 3 years experience in 
20            implementing or managing healthcare quality 
21            improvement initiatives in a clinical setting.
22                Quality Management Bureau:  Manager, Care 
23            Coordination/Managed Care Quality:  Clinical degree 
24            or advanced degree in relevant field required; 
25            experience in the field of managed care quality 
26            improvement, with knowledge of HEDIS measurements, 
 
 
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1            coding, and related data definitions.
2                Quality Management Bureau:  Manager, Primary 
3            Care Provider Quality and Practice Development:  
4            Clinical degree or advanced degree in relevant 
5            field required; experience in practice 
6            administration in the primary care setting with a 
7            provider or a provider association or an 
8            accrediting body; knowledge of practice standards 
9            for medical homes and best evidence based 
10            standards of care for primary care.
11                Director of Care Coordination Contracts and 
12            Compliance:  Bachelor's degree required;  multi-year 
13            experience in negotiating managed care contracts, 
14            preferably on behalf of a payer; experience with 
15            health care contract compliance.
16                Manager, Long Term Care Policy:  Bachelor's 
17            degree required; social work, gerontology, or 
18            social service degree preferred; knowledge of 
19            Olmstead and other relevant court decisions 
20            required;  experience working with  diverse long 
21            term care populations and service systems,  federal 
22            initiatives to create long term care community 
23            options, and home and community-based waiver 
24            services required. The General Assembly finds that 
25            this position is necessary for the timely and 
26            effective implementation of this amendatory Act of 
 
 
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1            the 97th General Assembly. 
2                Manager, Behavioral Health Programs:  Clinical 
3            license or Advanced degree required, preferably in 
4            psychology, social work, or relevant field; 
5            knowledge of  medical necessity criteria and 
6            governmental policies and regulations governing 
7            the provision of mental health services to 
8            Medicaid populations, including children and 
9            adults, in community and institutional settings of 
10            care. The General Assembly finds that this 
11            position is necessary for the timely and effective 
12            implementation of this amendatory Act of the 97th 
13            General Assembly. 
14                Manager, Office of Accountable Care Entity 
15            Development:  Bachelor's degree required, clinical 
16            degree or advanced degree in relevant field 
17            preferred; experience in developing integrated 
18            delivery systems, including knowledge of health 
19            homes and evidence-based standards of care 
20            delivery; multi-year experience in health care or 
21            public health management; knowledge of federal ACO 
22            or other similar delivery system requirements and 
23            strategies for improving health care delivery.
24                Manager of Federal Regulatory Compliance:  
25            Bachelor's degree required, advanced degree 
26            preferred, in healthcare management or relevant 
 
 
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1            field; experience in healthcare administration or 
2            Medicaid State Plan amendments preferred; 
3            experience interpreting federal rules; experience 
4            with either federal health care agency or with a 
5            State agency in working with federal regulations.
6                Manager, Office of Medical Project Management: 
7            Bachelor's degree required, project management 
8            certification preferred; multi-year experience in 
9            project management and developing business analyst 
10            skills; leadership skills to manage multiple and 
11            complex projects. 
12                Manager of Medicare/Medicaid Coordination:  
13            Bachelor's degree required, knowledge and 
14            experience with Medicare Advantage rules and 
15            regulations, knowledge of Medicaid laws and 
16            policies; experience with contract drafting 
17            preferred.
18                Chief, Bureau of Eligibility Integrity: 
19            Bachelor's degree required, advanced degree in 
20            public administration or business administration 
21            preferred; experience equivalent to 4 years of 
22            administration in a public or business 
23            organization required; experience with managing 
24            contract compliance required; knowledge of 
25            Medicaid eligibility laws and policy preferred; 
26            supervisory experience preferred. The General 
 
 
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1            Assembly finds that this position is necessary for 
2            the timely and effective implementation of this 
3            amendatory Act of the 97th General Assembly. 
4            (B) HEALTHCARE FINANCE.
5                Director of Care Coordination Rate and 
6            Finance: MBA, CPA, or Actuarial degree required; 
7            experience in managed care rate setting, 
8            including, but not limited to, baseline costs and 
9            growth trends; knowledge and experience with 
10            Medical Loss Ratio standards and measurements.
11                Director of Encounter Data Program: Bachelor's 
12            degree required, advanced degree preferred, 
13            preferably in health care, business, or 
14            information systems; at least 2 years healthcare 
15            or other similar data reporting experience, 
16            including, but not limited to, data definitions, 
17            submission, and editing; background in HIPAA 
18            transactions relevant to encounter data 
19            submission; experience with large provider, health 
20            insurer, government agency, or research 
21            institution or other knowledge of healthcare 
22            claims systems.
23                Manager of Medical Finance, Division of 
24            Finance:  Requires relevant advanced degree or 
25            certification in relevant field, such as Certified 
26            Public Accountant; coursework in business or 
 
 
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1            public administration, accounting, finance, data 
2            analysis, or statistics preferred; experience in 
3            control systems and GAAP; financial management 
4            experience in a healthcare or government entity 
5            utilizing Medicaid funding.
6            (C) HEALTHCARE DATA ANALYTICS.
7                Data Quality Assurance Manager: Bachelor's 
8            degree required, advanced degree preferred, 
9            preferably in business, information systems, or 
10            epidemiology; at least 3 years of extensive 
11            healthcare data reporting experience with a large 
12            provider, health insurer, government agency, or 
13            research institution; previous data quality 
14            assurance role or formal data quality assurance 
15            training.
16                Data Analytics Unit Manager:  Bachelor's degree 
17            required, advanced degree preferred, in 
18            information systems, applied mathematics, or 
19            another field with a strong analytics component; 
20            extensive healthcare data reporting experience 
21            with a large provider, health insurer, government 
22            agency, or research institution; experience as a 
23            business analyst interfacing between business and 
24            information technology departments; in-depth 
25            knowledge of health insurance coding and evolving 
26            healthcare quality metrics; working knowledge of 
 
 
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1            SQL and/or SAS.
2                Data Analytics Platform Manager: Bachelor's 
3            degree required, advanced degree preferred, 
4            preferably in business or information systems; 
5            extensive healthcare data reporting experience 
6            with a large provider, health insurer, government 
7            agency, or research institution; previous 
8            experience working on a health insurance data 
9            analytics platform; experience managing contracts 
10            and vendors preferred.
11            (D) HEALTHCARE INFORMATION TECHNOLOGY.
12                Manager of MMIS Claims Unit: Bachelor's degree 
13            required, with preferred coursework in business, 
14            public administration, information systems; 
15            experience equivalent to 4 years of administration  
16            in a public or business organization; working 
17            knowledge with design and implementation of 
18            technical solutions to medical claims payment 
19            systems; extensive technical writing experience, 
20            including, but not limited to, the development of 
21            RFPs, APDs, feasibility studies, and related 
22            documents; thorough knowledge of IT system design, 
23            commercial off the shelf software packages and 
24            hardware components.
25                Assistant Bureau Chief, Office of Information 
26            Systems:  Bachelor's degree required, with 
 
 
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1            preferred coursework in business, public 
2            administration, information systems;  experience 
3            equivalent to 5 years of administration in a public 
4            or private business organization; extensive 
5            technical writing experience, including, but not 
6            limited to, the development of RFPs, APDs, 
7            feasibility studies and related documents; 
8            extensive healthcare technology experience with a 
9            large provider, health insurer, government agency, 
10            or research institution; experience as a business 
11            analyst interfacing between business and 
12            information technology departments; thorough 
13            knowledge of IT system design, commercial off the 
14            shelf software packages and hardware components.
15                Technical System Architect:  Bachelor's degree 
16            required, with preferred coursework in computer 
17            science or information technology; prior 
18            experience equivalent to 5 years of computer 
19            science or IT administration in a public or 
20            business organization; extensive healthcare 
21            technology experience with a large provider, 
22            health insurer, government agency, or research 
23            institution; experience as a business analyst 
24            interfacing between business and information 
25            technology departments.
26    The provisions of this paragraph (8), other than this 
 
 
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1    sentence, are inoperative after January 1, 2014. 
2(Source: P.A. 98-104, eff. 7-22-13; 98-1146, eff. 12-30-14; 
399-45, eff. 7-15-15.)

 
 
4    Section 99. Effective date. This Act takes effect upon 
5becoming law.".