Ladonna Desouza

Highly accomplished Financial Systems and Finance professional with 15+ years of experience in financial systems administration, enterprise application support, financial analysis, accounting operations, budgeting, forecasting, and process improvement. Expertise in financial system configuration, ERP optimization, workflow automation, security administration, data integration, data mapping, reporting, system implementations, upgrades, migrations, testing, and User Acceptance Testing (UAT). Proven ability to partner with Finance, IT, Revenue Cycle, and executive leadership to streamline business processes, improve financial reporting, strengthen internal controls, support audit readiness, develop SOPs, and deliver scalable technology solutions that enhance operational efficiency and data integrity.

Senior Financial Analyst - Cooper University Hospital - Camden, NJ

(2021-09)

• Lead Financial Systems Administration, configuration, optimization, and production support for enterprise financial applications, including Strata, SAP, and OneStream.
• Manage system implementations, upgrades, migrations, enhancements, integrations, and User Acceptance Testing (UAT) to ensure system reliability, data integrity, and successful deployments.
• Configure and maintain workflows, security, business rules, financial hierarchies, data mapping, and system integrations to support budgeting, forecasting, cost accounting, and financial reporting.
• Partner with Finance, IT, Revenue Cycle, Decision Support, and executive leadership to gather business requirements, streamline workflows, and implement scalable financial system solutions.
• Develop advanced SQL queries, dashboards, KPI reporting, executive analytics, and ad hoc financial reports to support strategic decision-making.
• Lead business process improvement, workflow automation, and financial systems optimization initiatives that increase operational efficiency and reduce manual processes.
• Support budgeting, forecasting, variance analysis, cost accounting, financial planning, and executive reporting across multiple departments.
• Troubleshoot complex application issues, perform root cause analysis, coordinate vendor support, and ensure optimal system performance.
• Develop and maintain Standard Operating Procedures (SOPs), process documentation, user guides, and training materials to standardize operations and strengthen internal controls.
• Support internal and external audits, regulatory compliance, audit readiness, and financial data validation while mentoring end users and delivering enterprise-wide financial systems training.

Senior Accountant - Jefferson Health Hospital - Center City, PA

(2020-05 - 2021-09)

• Prepare and review monthly financial statements in accordance with GAAP.
• Maintain and reconcile general ledger accounts, including accruals and prepaids.
• Assist in the month-end and year-end close processes.
• Prepare and analyze financial reports, including variance analyses and forecasting reports.
• Support external audits by providing documentation and responding to inquiries.
• Prepare journal entries, account analyses and review bank reconciliations.
• Mentor and support junior accounting staff as needed. Assisted in analyzing current costs, revenues, financial commitments, and obligations incurred to predict future revenues and expenses
• Assisted in monthly closings and lead in preparing monthly financial statements
• Assisted with implementing and maintaining internal financial controls and procedures
• Provided support for testing and implementing systems and/or process changes to support increased efficiencies

Grants Accounting Manager / Senior Accountant / Financial Specialist - Henry J. Austin Health Center - Trenton, NJ

(2015-09 - 2020-04)

• Collaborated with the CFO to ensure efficient and transparent full-cycle grants management, from proposal to closeout.
• Tracked, monitored, and analyzed all grant-related expenditures and prepared detailed financial and compliance reports.
• Maintained audit-ready documentation for billing, fund drawdowns, time and effort reporting, and budget compliance.
• Ensured adherence to federal guidelines (75 CFR Part 45) and internal controls for financial transactions.
• Produced quarterly and annual financial reports for funders and executive leadership.
• Supervised data compilation and performed financial analysis for state and federal reporting, including UDS submissions.
• Created detailed federal grant budgets, cash flow forecasts, and cost allocation models.
• Authored SOPs and developed department-wide financial policies to enhance process efficiency and control.
• Oversaw reconciliation of accounts and compiled executive summaries to support CEO/CFO decision-making.
• Handled multiple bank accounts, daily reconciliations, deposits, and month-end journal entries.
• Managed grant revenue recognition and performed in-depth analysis of Medicaid, Medicare, commercial insurance, and other third-party revenues.
• Led audit preparation for 401(k) and OIG reviews and supported the annual general audit.
• Managed the implementation of financial procedures and internal controls across the organization.
• Processed vendor invoices, performed AP functions, and resolved discrepancies with internal and external stakeholders.
• Supported credentialing documentation for the billing department and handled financial reporting for CAP, Wrap Payments, and Uncompensated Care.

Master of Business Administration - Business Administration - Western Governors University (2018-12)

Master of Science - Accounting - Western Governors University

Bachelor of Science - Accounting - Rowan University