Totah began her career playing male roles but publicly came out as a trans woman in August 2018, changing her first name to Josie.
[6] Josie Totah began her acting career in 2012 when she was cast as the "Lil' Dictator" in the first production for AwesomenessTV.
[10] In 2016, Totah appeared in the film Other People, and received critical praise for her role with Variety, making her one of its Sundance Breakout Stars of the year.
[19] Totah was cast in a Saved by the Bell reboot for NBC's streaming service Peacock, where she played the character of Lexi, a socially powerful cheerleader.
[20] In August 2022, she started a podcast titled Dare We Say with Yasmine Hamady and Saved by the Bell co-star Alycia Pascual-Peña.