How does it work, do they have the same type of hierarchy as cosa nostra ?
More like the 'ndrangheta: a loose network of groups that tolerate each other to a certain extent, but no supreme directive like the commission in Sicily, only local alliances, for example the Secondigliano Alliance (Licciardi-Mallardo-Contini with some other less powerful groupps).
A different situation was with Raffaele Cutolo: he was the absolute boss of the whole organization, but it didn't include the whole camorra.