The conductor of an orchestra, and the leader of a company, sets the vision and direction. Steve Jobs was exceptional at this. Two examples, Sundar Pichai and Elon Musk, are clearly not particularly adept at this.
SpaceX and Tesla have the equivalent of the principals of each section of the orchestra feeding their conductor his cues and making sure he gets them right. Google has someone standing on the podium and bowing, but nobody waving the baton at all.
OpenAI is more of a research organization than a product company, and so it's hard to see where someone like Altman can contribute meaningfully to the direction.