We introduce Probabilistic Rank and Reward (PRR), a scalable probabilistic model for personalized slate recommendation. Our approach allows state-of-the-art estimation of the user interests in the ubiquitous scenario where the user interacts with at most one item from a slate of K items. We show that the probability of a slate being successful can be learned efficiently by combining the reward, whether the user successfully interacted with the slate, and the rank, the item that was selected within the slate. PRR outperforms competing approaches that use one signal or the other and is far more scalable to large action spaces. Moreover, PRR allows fast delivery of recommendations powered by maximum inner product search (MIPS), making it suitable in low latency domains such as computational advertising.