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1 AN ACT concerning education.


2 Be it enacted by the People of the State of Illinois,

3represented in the General Assembly:



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 
17 exempt from
jurisdiction B; in all other departments, 
18 boards and commissions one
private secretary for the 
19 director or chairman thereof shall be exempt from

20 jurisdiction B. In all departments, boards and commissions 
21 one confidential
assistant for the director or chairman 
22 thereof shall be exempt from
jurisdiction B. This paragraph 
23 is subject to such modifications or waiver
of the 
 
 
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1 exemptions as may be necessary to assure the continuity of 
2 federal
contributions in those agencies supported in whole 
3 or in part by federal
funds.

4  (2) The resident administrative head of each State 
5 charitable, penal and
correctional institution, the 
6 chaplains thereof, and all member, patient
and inmate 
7 employees are exempt from jurisdiction B.

8  (3) The Civil Service Commission, upon written 
9 recommendation of the
Director of Central Management 
10 Services, shall exempt
from jurisdiction B other positions

11 which, in the judgment of the Commission, involve either 
12 principal
administrative responsibility for the 
13 determination of policy or principal
administrative 
14 responsibility for the way in which policies are carried

15 out, except positions in agencies which receive federal 
16 funds if such
exemption is inconsistent with federal 
17 requirements, and except positions
in agencies supported 
18 in whole by federal funds.

19  (4) All beauticians and teachers of beauty culture and 
20 teachers of
barbering, and all positions heretofore paid 
21 under Section 1.22 of "An Act
to standardize position 
22 titles and salary rates", approved June 30, 1943,
as 
23 amended, shall be exempt from jurisdiction B.

24  (5) Licensed attorneys in positions as legal or 
25 technical advisors; , positions in the Department of 
26 Natural Resources requiring incumbents
to be either a 
 
 
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1 registered professional engineer or to hold a bachelor's 
2 degree
in engineering from a recognized college or 
3 university; ,
licensed physicians in positions of medical 
4 administrator or physician or
physician specialist 
5 (including psychiatrists); , all positions within the 
6 Department of Juvenile Justice requiring licensure by the 
7 State Board of Education under Article 21B of the School 
8 Code; from the effective date of this amendatory Act of the 
9 99th General Assembly until January 1, 2017, all positions 
10 within the Illinois School for the Deaf and the Illinois 
11 School for the Visually Impaired requiring licensure by the 
12 State Board of Education under Article 21B of the School 
13 Code; , and registered nurses (except
those registered 
14 nurses employed by the Department of Public Health); , 
15 except
those in positions in agencies which receive federal 
16 funds if such
exemption is inconsistent with federal 
17 requirements and except those in
positions in agencies 
18 supported in whole by federal funds, are exempt from

19 jurisdiction B only to the extent that the requirements of 
20 Section 8b.1,
8b.3 and 8b.5 of this Code need not be met.

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

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

 
 
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1 Commission are exempt from jurisdiction B.

2  (8) Twenty-one senior public service administrator 
3 positions within the Department of Healthcare and Family 
4 Services, as set forth in this paragraph (8), requiring the 
5 specific knowledge of healthcare administration, 
6 healthcare finance, healthcare data analytics, or 
7 information technology described are exempt from 
8 jurisdiction B only to the extent that the requirements of 
9 Sections 8b.1, 8b.3, and 8b.5 of this Code need not be met. 
10 The General Assembly finds that these positions are all 
11 senior policy makers and have spokesperson authority for 
12 the Director of the Department of Healthcare and Family 
13 Services. When filling positions so designated, the 
14 Director of Healthcare and Family Services shall cause a 
15 position description to be published which allots points to 
16 various qualifications desired. After scoring qualified 
17 applications, the Director shall add Veteran's Preference 
18 points as enumerated in Section 8b.7 of this Code. The 
19 following are the minimum qualifications for the senior 
20 public service administrator positions provided for in 
21 this paragraph (8):
22   (A) HEALTHCARE ADMINISTRATION.
23    Medical Director: Licensed Medical Doctor in 
24 good standing; experience in healthcare payment 
25 systems, pay for performance initiatives, medical 
26 necessity criteria or federal or State quality 
 
 
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1 improvement programs; preferred experience serving 
2 Medicaid patients or experience in population 
3 health programs with a large provider, health 
4 insurer, government agency, or research 
5 institution.
6    Chief, Bureau of Quality Management: Advanced 
7 degree in health policy or health professional 
8 field preferred; at least 3 years experience in 
9 implementing or managing healthcare quality 
10 improvement initiatives in a clinical setting.
11    Quality Management Bureau: Manager, Care 
12 Coordination/Managed Care Quality: Clinical degree 
13 or advanced degree in relevant field required; 
14 experience in the field of managed care quality 
15 improvement, with knowledge of HEDIS measurements, 
16 coding, and related data definitions.
17    Quality Management Bureau: Manager, Primary 
18 Care Provider Quality and Practice Development: 
19 Clinical degree or advanced degree in relevant 
20 field required; experience in practice 
21 administration in the primary care setting with a 
22 provider or a provider association or an 
23 accrediting body; knowledge of practice standards 
24 for medical homes and best evidence based 
25 standards of care for primary care.
26    Director of Care Coordination Contracts and 
 
 
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1 Compliance: Bachelor's degree required; multi-year 
2 experience in negotiating managed care contracts, 
3 preferably on behalf of a payer; experience with 
4 health care contract compliance.
5    Manager, Long Term Care Policy: Bachelor's 
6 degree required; social work, gerontology, or 
7 social service degree preferred; knowledge of 
8 Olmstead and other relevant court decisions 
9 required; experience working with diverse long 
10 term care populations and service systems, federal 
11 initiatives to create long term care community 
12 options, and home and community-based waiver 
13 services required. The General Assembly finds that 
14 this position is necessary for the timely and 
15 effective implementation of this amendatory Act of 
16 the 97th General Assembly. 
17    Manager, Behavioral Health Programs: Clinical 
18 license or Advanced degree required, preferably in 
19 psychology, social work, or relevant field; 
20 knowledge of medical necessity criteria and 
21 governmental policies and regulations governing 
22 the provision of mental health services to 
23 Medicaid populations, including children and 
24 adults, in community and institutional settings of 
25 care. The General Assembly finds that this 
26 position is necessary for the timely and effective 
 
 
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1 implementation of this amendatory Act of the 97th 
2 General Assembly. 
3    Manager, Office of Accountable Care Entity 
4 Development: Bachelor's degree required, clinical 
5 degree or advanced degree in relevant field 
6 preferred; experience in developing integrated 
7 delivery systems, including knowledge of health 
8 homes and evidence-based standards of care 
9 delivery; multi-year experience in health care or 
10 public health management; knowledge of federal ACO 
11 or other similar delivery system requirements and 
12 strategies for improving health care delivery.
13    Manager of Federal Regulatory Compliance: 
14 Bachelor's degree required, advanced degree 
15 preferred, in healthcare management or relevant 
16 field; experience in healthcare administration or 
17 Medicaid State Plan amendments preferred; 
18 experience interpreting federal rules; experience 
19 with either federal health care agency or with a 
20 State agency in working with federal regulations.
21    Manager, Office of Medical Project Management: 
22 Bachelor's degree required, project management 
23 certification preferred; multi-year experience in 
24 project management and developing business analyst 
25 skills; leadership skills to manage multiple and 
26 complex projects. 
 
 
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1    Manager of Medicare/Medicaid Coordination: 
2 Bachelor's degree required, knowledge and 
3 experience with Medicare Advantage rules and 
4 regulations, knowledge of Medicaid laws and 
5 policies; experience with contract drafting 
6 preferred.
7    Chief, Bureau of Eligibility Integrity: 
8 Bachelor's degree required, advanced degree in 
9 public administration or business administration 
10 preferred; experience equivalent to 4 years of 
11 administration in a public or business 
12 organization required; experience with managing 
13 contract compliance required; knowledge of 
14 Medicaid eligibility laws and policy preferred; 
15 supervisory experience preferred. The General 
16 Assembly finds that this position is necessary for 
17 the timely and effective implementation of this 
18 amendatory Act of the 97th General Assembly. 
19   (B) HEALTHCARE FINANCE.
20    Director of Care Coordination Rate and 
21 Finance: MBA, CPA, or Actuarial degree required; 
22 experience in managed care rate setting, 
23 including, but not limited to, baseline costs and 
24 growth trends; knowledge and experience with 
25 Medical Loss Ratio standards and measurements.
26    Director of Encounter Data Program: Bachelor's 
 
 
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1 degree required, advanced degree preferred, 
2 preferably in health care, business, or 
3 information systems; at least 2 years healthcare 
4 or other similar data reporting experience, 
5 including, but not limited to, data definitions, 
6 submission, and editing; background in HIPAA 
7 transactions relevant to encounter data 
8 submission; experience with large provider, health 
9 insurer, government agency, or research 
10 institution or other knowledge of healthcare 
11 claims systems.
12    Manager of Medical Finance, Division of 
13 Finance: Requires relevant advanced degree or 
14 certification in relevant field, such as Certified 
15 Public Accountant; coursework in business or 
16 public administration, accounting, finance, data 
17 analysis, or statistics preferred; experience in 
18 control systems and GAAP; financial management 
19 experience in a healthcare or government entity 
20 utilizing Medicaid funding.
21   (C) HEALTHCARE DATA ANALYTICS.
22    Data Quality Assurance Manager: Bachelor's 
23 degree required, advanced degree preferred, 
24 preferably in business, information systems, or 
25 epidemiology; at least 3 years of extensive 
26 healthcare data reporting experience with a large 
 
 
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1 provider, health insurer, government agency, or 
2 research institution; previous data quality 
3 assurance role or formal data quality assurance 
4 training.
5    Data Analytics Unit Manager: Bachelor's degree 
6 required, advanced degree preferred, in 
7 information systems, applied mathematics, or 
8 another field with a strong analytics component; 
9 extensive healthcare data reporting experience 
10 with a large provider, health insurer, government 
11 agency, or research institution; experience as a 
12 business analyst interfacing between business and 
13 information technology departments; in-depth 
14 knowledge of health insurance coding and evolving 
15 healthcare quality metrics; working knowledge of 
16 SQL and/or SAS.
17    Data Analytics Platform Manager: Bachelor's 
18 degree required, advanced degree preferred, 
19 preferably in business or information systems; 
20 extensive healthcare data reporting experience 
21 with a large provider, health insurer, government 
22 agency, or research institution; previous 
23 experience working on a health insurance data 
24 analytics platform; experience managing contracts 
25 and vendors preferred.
26   (D) HEALTHCARE INFORMATION TECHNOLOGY.
 
 
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1    Manager of MMIS Claims Unit: Bachelor's degree 
2 required, with preferred coursework in business, 
3 public administration, information systems; 
4 experience equivalent to 4 years of administration 
5 in a public or business organization; working 
6 knowledge with design and implementation of 
7 technical solutions to medical claims payment 
8 systems; extensive technical writing experience, 
9 including, but not limited to, the development of 
10 RFPs, APDs, feasibility studies, and related 
11 documents; thorough knowledge of IT system design, 
12 commercial off the shelf software packages and 
13 hardware components.
14    Assistant Bureau Chief, Office of Information 
15 Systems: Bachelor's degree required, with 
16 preferred coursework in business, public 
17 administration, information systems; experience 
18 equivalent to 5 years of administration in a public 
19 or private business organization; extensive 
20 technical writing experience, including, but not 
21 limited to, the development of RFPs, APDs, 
22 feasibility studies and related documents; 
23 extensive healthcare technology experience with a 
24 large provider, health insurer, government agency, 
25 or research institution; experience as a business 
26 analyst interfacing between business and 
 
 
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1 information technology departments; thorough 
2 knowledge of IT system design, commercial off the 
3 shelf software packages and hardware components.
4    Technical System Architect: Bachelor's degree 
5 required, with preferred coursework in computer 
6 science or information technology; prior 
7 experience equivalent to 5 years of computer 
8 science or IT administration in a public or 
9 business organization; extensive healthcare 
10 technology experience with a large provider, 
11 health insurer, government agency, or research 
12 institution; experience as a business analyst 
13 interfacing between business and information 
14 technology departments.
15 The provisions of this paragraph (8), other than this 
16 sentence, are inoperative after January 1, 2014. 
17(Source: P.A. 97-649, eff. 12-30-11; 97-689, eff. 6-14-12; 
1898-104, eff. 7-22-13; 98-1146, eff. 12-30-14.)