Alternatives to AltiSales
If AltiSales's retainer model or GTM focus doesn't fit, the five strongest alternatives span ROI CX Solutions, Unity Communications, BackofficePro, Outsourced Staff, and Outsource2india.
Top alternatives to AltiSales
6 providersQualfon provides AI-governed call center, revenue growth, back office, and regulated direct mail outsourcing for healthcare, insurance, and financial services.
Magellan Solutions is a Philippines-based BPO provider offering call center, back-office, and virtual assistant services primarily for SMEs.
View profile →Smart Outsourcing Solution offers Philippines EOR services and dedicated remote team building for startups and growth-stage companies.
View profile →CIENCE provides managed B2B outbound SDR teams, GTM execution, and human-verified lead data for SaaS and B2B technology companies.
View profile →Ascent BPO is a Noida, India-based outsourcing provider offering call center, data entry, back-office, and IT services across healthcare, e-commerce, and insurance verticals.
View profile →India-based call center and BPO provider offering inbound/outbound, KPO, and offshore staffing services to global clients since 2011.
What AltiSales Actually Does, and Why Buyers Start Looking Elsewhere
AltiSales is a San Francisco-based B2B outbound sales firm that operates on a monthly retainer model. It targets high-ACV SaaS and tech companies that want a managed SDR team with RevOps muscle, not just a dialer farm. The pitch is strategic: pipeline generation tied to your ICP, sequencing built in tools like Outreach.io, and reps who can hold a conversation with a VP of Sales without reading from a script.
The catch is that this model is expensive and opaque on paper. AltiSales does not publish headcount or pricing, which is a deliberate positioning choice. You are paying for GTM consulting wrapped around execution, not a commodity seat. That is fine if your ACV justifies it and your process is already documented. But if you are an early-stage company that needs cheap top-of-funnel volume, or a scaling operation that wants per-hour flexibility or certified compliance coverage, the retainer model and the strategic overhead may not serve you well.
Buyers I see evaluating AltiSales alternatives tend to fall into two camps. The first group wants a lower-cost or more flexible commercial model, something per-hour or per-seat that scales with actual usage rather than a fixed monthly commitment. The second group needs compliance certifications, specifically HIPAA, SOC 2, or PCI-DSS, which AltiSales does not publish, and that gap is a dealbreaker for regulated industries. Both camps are legitimate, and the five alternatives below address them differently.
The Five Real Alternatives: Exact Data Side by Side
This table is reproduced from the live Global BPO Index listings. Use it as a starting point, not an endpoint. Pricing models and certifications are the most structurally important columns for initial shortlisting.
| Provider | HQ | Size | Pricing model | Certifications |
|---|---|---|---|---|
| AltiSales | San Francisco, United States | Not published | Monthly-retainer | Not published |
| Unity Communications | Gilbert, United States | 351-500 | Per-hour | Not published |
| Outsource2india | India | Not published | Not published | ISO 9001 |
| BackofficePro | Bengaluru, India | 250-3500 | Per-hour | HIPAA |
| Outsourced Staff | Australia | Not published | Per-seat | Not published |
| ROI CX Solutions | United States | 5000+ | Not published | PCI DSS, HIPAA, HITRUST, SOC 2, ISO 27001 |
Which Alternative Fits Which Buyer, and Why That Matters More Than Price
ROI CX Solutions is the most structurally different alternative on this list. With 5,000 or more employees and five published certifications including HITRUST and SOC 2, it is built for regulated-industry buyers who cannot work with a vendor that has blank compliance columns. If you are in healthcare, financial services, or any SaaS product that touches PHI or payment data, ROI CX Solutions is the only alternative here that clears the compliance bar without further investigation. The tradeoff is that a 5,000-person firm runs enterprise sales cycles and minimum contract sizes. I would not shortlist them for a 10-seat pilot unless you have a clear path to scale.
Unity Communications sits in Gilbert, Arizona, with 351 to 500 employees and a per-hour billing model. That combination is genuinely useful for US-based buyers who want nearshore-style timezone overlap, a mid-market firm that is not too large to give you attention, and the flexibility to ramp hours up or down without a fixed monthly commitment. They do not publish certifications, so if compliance is a requirement, verify before you engage. For early-stage SaaS companies that found AltiSales too expensive or too rigid, Unity Communications is worth a first call.
BackofficePro is the India-based option with HIPAA certification and a per-hour model. The 250 to 3,500 headcount range is wide, which tells you they handle variable-scale engagements, but it also means you need to ask specifically about the team and management layer assigned to your account. HIPAA certification matters if your pipeline work touches any healthcare-adjacent data. For a B2B SaaS company selling into hospitals or health systems, this is a non-obvious but credible pick.
Outsource2india carries ISO 9001, which signals process quality management discipline rather than data security compliance. For a buyer whose primary concern is consistent output quality on back-office or research tasks supporting outbound, ISO 9001 is meaningful. It is not a substitute for HIPAA or SOC 2 in regulated environments. Pricing model is not published, so you will need to ask directly and get a written breakdown before assuming.
Outsourced Staff is Australia-based with a per-seat model and no published headcount or certifications. A per-seat model means you are paying for a dedicated person, not hourly consumption. That can be good when you have a stable, well-defined role, and it can be wasteful if your volume is uneven. The Australian base likely means higher cost than India-based alternatives, and the certification gap means I would ask hard questions before putting any sensitive data in their hands.
Pricing Model is the Real Fork in the Road
The commercial model each provider uses is not just a billing preference. It shapes the entire operating relationship. AltiSales uses a monthly retainer, which works when the scope is complex and the vendor is genuinely managing strategy, not just executing calls. You are paying for thinking, not just activity. The risk is that you keep paying whether the pipeline is moving or not, and without published rates, you have no anchor for negotiation.
Per-hour models (Unity Communications and BackofficePro) are best suited to variable workloads or pilot phases where you are still calibrating how many hours of outbound effort actually move your metrics. In my experience, per-hour billing creates more vendor accountability at the task level, but it puts more process management burden on you. You need to know what a good hour of output looks like before you can evaluate whether you are getting it.
Per-seat (Outsourced Staff) means you own the person's time entirely. That is efficient when the work is dense enough to fill a full-time equivalent, and expensive when it is not. For SDR work specifically, a dedicated seat makes sense once you have a repeatable outbound motion. If you are still testing messaging or ICP, a seat commitment is premature.
The honest framing is this: if AltiSales felt too expensive or too locked-in, per-hour models give you the most flexibility. If AltiSales felt too unstructured or you want full control over a rep's time, per-seat is the right direction. And if your primary concern is compliance coverage across a large contact center operation, ROI CX Solutions is the only alternative here with published evidence that it can meet that bar.
- Monthly retainer (AltiSales): best for complex GTM strategy plus execution; high fixed cost, low flexibility
- Per-hour (Unity Communications, BackofficePro): best for variable volume or pilots; requires clear output definitions
- Per-seat (Outsourced Staff): best for stable, full-time outbound roles; inefficient for uneven workloads
- Unpublished model (Outsource2india, ROI CX Solutions): ask for a written all-in breakdown before proceeding
Compliance Certifications: The Column You Cannot Ignore in Regulated Industries
Compliance posture: a vendor's publicly audited and maintained set of security, quality, and regulatory certifications that define which industries and data types they are legally and operationally qualified to handle.
AltiSales publishes no certifications. That is a real gap, not a minor omission. If you sell into healthcare, financial services, or any sector where your prospect data is sensitive, your outbound vendor touches that data the moment they load a contact list. A vendor with no published compliance posture cannot give you assurance, and they may not even know what standard applies to your use case.
ROI CX Solutions is the standout here: PCI-DSS, HIPAA, HITRUST, SOC 2, and ISO 27001. That stack covers payment data, health information, and general information security management. HITRUST specifically is a healthcare-sector composite framework that most competitors cannot claim. If you are a healthtech or fintech SaaS company, this is the list you want to see, and ROI CX Solutions is the only alternative on this list that publishes it.
BackofficePro carries HIPAA, which is meaningful for healthcare-adjacent outbound work. Outsource2india carries ISO 9001, which governs process quality, not data security. Unity Communications and Outsourced Staff publish nothing. I would not disqualify them automatically, some strong firms are simply not marketing-forward about certifications, but I would require written answers before signing anything.
Specific Questions to Ask Each Vendor Before You Sign
The sales process at any of these firms will show you capacity and case studies. What it rarely shows you is operating discipline. I have seen buyers sign with a vendor based on a polished deck and a low rate, then spend three months fixing onboarding problems the vendor's proposal never addressed. Ask the specific questions below before you shortlist any of these providers.
- Who manages agents day to day, and what is the manager-to-rep ratio on your account specifically?
- What percentage of calls or outbound activities are reviewed by QA each week, and what does remediation look like when an error is found?
- Can you show me a sample weekly performance report, not a template but an actual one from a current client?
- What happens when your assigned rep leaves, and what is the average tenure on accounts at this price point?
- For per-hour vendors: what counts as a billable hour, and how do you handle ramp time and downtime between calls?
- For per-seat vendors: what is the minimum contract term, and can headcount flex up or down within the term?
- For vendors without published certifications: which security standard governs how you store and transmit our contact and prospect data?
- If our volume doubles in 60 days, how do you hire, train, and onboard additional reps without degrading quality on the existing account?
My Honest Take on When to Stay with AltiSales and When to Switch
AltiSales makes the most sense when you have a high-ACV product, a defined ICP, and internal RevOps bandwidth to collaborate with an external SDR team on strategy. The monthly retainer model is not inherently overpriced if you are actually using the strategic layer, not just the calling hours. If your team treats them as a managed pipeline partner and reviews sequencing and messaging together, you are getting what you pay for.
Switch to an alternative when your primary problem is cost flexibility, compliance coverage, or scale. Per-hour models from Unity Communications or BackofficePro give you flexibility. ROI CX Solutions gives you compliance depth. If you are at the point where you need hundreds of outbound seats with enterprise-grade security audits, AltiSales is the wrong frame of reference entirely.
I would be careful about switching purely on rate. Cheap outbound SDR work that generates low-quality pipeline is more expensive than a higher retainer that generates meetings that close. The metric that matters is cost per qualified meeting, not cost per hour. Before you move to any alternative, define what qualified means in writing, and hold the new vendor to that definition from day one, not month three.
Frequently asked questions
- What are the best alternatives to AltiSales for B2B SaaS outbound sales?
- The strongest alternatives to AltiSales for B2B SaaS outbound are ROI CX Solutions for regulated industries, Unity Communications for per-hour flexibility and US timezone alignment, and BackofficePro for India-based outbound with HIPAA coverage. The right pick depends on your compliance requirements, pricing model preference, and whether you need strategic GTM support or pure execution volume.
- How does AltiSales pricing compare to its competitors?
- AltiSales uses a monthly retainer model and does not publish rates. Competitors like Unity Communications and BackofficePro use per-hour billing, which tends to offer more flexibility during pilots, while Outsourced Staff uses a per-seat model better suited to stable, full-time roles. If you are comparing on cost, ask every vendor for an all-in written quote before assuming any model is cheaper.
- Which AltiSales alternative is best for HIPAA-compliant outbound sales?
- ROI CX Solutions is the most comprehensively certified alternative, holding HIPAA, PCI-DSS, HITRUST, SOC 2, and ISO 27001. BackofficePro also carries HIPAA certification and operates on a per-hour model from Bengaluru. AltiSales itself publishes no compliance certifications, so for healthcare-adjacent SaaS companies, either of these alternatives addresses a real gap.
- Is there a cheaper alternative to AltiSales that still covers B2B appointment setting?
- Unity Communications and BackofficePro both offer per-hour billing, which can be more cost-effective than a fixed monthly retainer if your outbound volume is variable or you are still testing messaging. India-based providers like BackofficePro and Outsource2india generally operate at lower cost points than US-based alternatives, though pricing is not publicly listed for all of them and must be negotiated directly.
- What is the difference between AltiSales and ROI CX Solutions?
- AltiSales is a boutique GTM and SDR firm targeting high-ACV SaaS companies with a monthly retainer model and no published compliance certifications. ROI CX Solutions is a 5,000-plus-person contact center and BPO with five published compliance certifications including HITRUST and SOC 2. They serve structurally different buyers.
- Can I use a per-hour outbound sales vendor instead of a monthly retainer model?
- Yes, Unity Communications and BackofficePro both offer per-hour billing for outbound sales work, and this model works well when volume is variable or you are in a pilot phase. The tradeoff is that per-hour billing requires you to define what a productive hour looks like, since you are managing output at the task level rather than delegating strategy to the vendor.
- Which AltiSales alternative works best for a startup with limited budget?
- For a startup watching costs closely, Unity Communications offers per-hour billing with a mid-market firm that is not too large to give you real attention, while BackofficePro offers India-based per-hour outbound with HIPAA certification if compliance matters. Both give you more commercial flexibility than AltiSales's retainer model, and either is worth a first call to get a written quote before committing.
- Does AltiSales have competitors with published compliance certifications?
- Yes, and this is one of the clearest structural gaps in the AltiSales positioning. ROI CX Solutions publishes five certifications (PCI-DSS, HIPAA, HITRUST, SOC 2, ISO 27001), BackofficePro publishes HIPAA, and Outsource2india publishes ISO 9001. AltiSales, Unity Communications, and Outsourced Staff publish none, which is a real consideration for any buyer whose prospect data touches regulated information.