You can create a polygon, then use one of the convert tools on your shape (under tools-->create cutout from select primitives) to create a cutout on that polygon.
For the text, there is an option to make it negative if you select "truetype"
Another option is to draw it in a software like autocad, explode it, then create polygons once imported in altium.
Another option, you can draw it positive then invert the gerbers in postprocessing.
Still, the last one, draw it positive and tell the fab house to invert it.