Indeed. It was such a paradoxical situation from the start, with her both reporting to Musk as the chairman and owner, while at the same time "managing" him as the CTO. I'm surprised that the charade went on for as long as it did.
What’s there to perceive? Ballmer talked at length about how challenging it was and how often they disagreed on things.
“That's where I moved back to be president of the company and then CEO, and Bill and I went through a year where we didn't speak”
“Basically our wives were the ones who pushed us back together. We had a very awkward dinner at a health club down the street here, but we get back together. But we never really got the right mojo.”
To a certain extent, you always have to manage your boss, whether as an individual contributor or as a subordinate manager. A boss managing multiple people does not have the same mental bandwidth as all the people in their team combined, so the employees cannot bring every matter to the boss's attention. Choosing which matters to bring (and how to present them) is precisely what managing upwards means.
(In fact, if you're being praised
When someone says that they need to manage their boss, what they usually mean is that the boss reacts poorly or unproductively to bad news, or that they like to interfere in parts of the work process that would best be left to the employees, and so this normal part of everyone's job turns into a constant walk on eggshells.