It really comes down to the management and support structure of the company and project, as well as the abilities of the individual.
In a well-defined, larger company, a lead manager will have much better support and tools as well as have less of a role in the nitty-gritty, instead being more of a figurehead and long-term planner than an implementer.
The same applies to all companies. Many companies have various major projects and products and have head officers in charge of them. They have officers beneath them dealing with a lot of it.